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- <!DOCTYPE html>
- <html lang="de">
- <head>
- <title>Urlaubs- und Zeitausgleichsverwaltung |urlaub.kladler.at</title>
- <meta name="description" content="Hier wird eine Verwaltung für Urlaub und Zeitausgleichsstunden geboten - und sogar gratis und ohne viel Zeitaufwand. ">
- <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">
- <meta charset="utf-8" />
- <link rel="stylesheet" type="text/css" href="css/bootstrap.css">
- <link rel="stylesheet" type="text/css" href="css/bootstrap-theme.css">
- <link rel="stylesheet" type="text/css" href="css/validate.style.css">
- <script type="text/javascript" src="js/jquery-1.12.2.js"></script>
- <script type="text/javascript" src="js/bootstrap.min.js"></script>
- <script type="text/javascript" src="js/bootstrap.validate.min.js"></script>
- <script type="text/javascript" src="js/validate.js"></script>
- <script type="text/javascript" src="js/localization/messages_de.js"></script>
- </head>
- <body>
- <div class="container">
- <div class="row">
- <div class="col-md-6 col-md-offset-3">
- <h1 class="text-center center">Registrierung</h1>
- <form id="registration" action="" method="post" class="form-horizontal" data-toggle="validator">
- <div class='form-group input-group'>
- <select class="form-control" id="anrede" name="anrede" required="required">
- <option selected value="">- Anrede -</option>-
- <option value=1>Herr</option>
- <option value=2>Frau</option>
- </select>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-tags"></i></span>
- <input id="famname" class="form-control" name="famname" placeholder="Familienname" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-tags"></i></span>
- <input id="vorname" class="form-control" name="vorname" placeholder="Vorname" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-road"></i></span>
- <input id="street" class="form-control" name="street" placeholder="Straße" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-home"></i></span>
- <input id="housnumber" class="form-control" name="housnumber" placeholder="Hausnummer" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-flag"></i></span>
- <input id="plz" class="form-control" name="plz" placeholder="PLZ" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-flag"></i></span>
- <input id="city" class="form-control" name="city" placeholder="Ort" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
- <input id="username" class="form-control" name="username" placeholder="Benutzername" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
- <input id="email" class="form-control" name="email" placeholder="E-Mail" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
- <input id="emailconfirm" class="form-control" name="emailconfirm" placeholder="E-Mail Bestätigung" type="text"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-lock"></i></span>
- <input id="password" class="form-control" name="password" placeholder="Passwort" type="password"></input>
- </div>
- <div class='form-group input-group'>
- <span class="input-group-addon"><i class="glyphicon glyphicon-lock"></i></span>
- <input id="passwordconfirm" class="form-control" name="passwordconfirm" placeholder="Passwort Bestätigung" type="password"></input>
- </div>
- <input type="submit" name="registrieren" id="registrieren" value="registrieren">
- </form>
- </form>
- </div>
- </div>
- </div>
- </div>
- </body>
- </html>
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