피험자 청구서

피 험 자 청 구 서 소 속 성 명 과 제 명 연구기간 연구 의뢰기관 ~

<caption id="caption23" style="left:620px; top:23px; width:25px; height:19px; ">(인)</caption>
			<input id="input13" ref="/root/main/repdetl/R0276006" navindex="7" style="left:439px; top:102px; width:206px; height:19px; "/>
			<caption id="caption29" class="cell_1" style="left:-1px; top:2px; width:79px; height:40px; ">과제번호</caption>
			<textarea id="textarea1" ref="/root/main/repdetl/R0276021" navindex="1" scroll="autovscroll" style="left:80px; top:2px; width:236px; height:39px; text-align:left; vertical-align:middle; "/>
			<line id="line5" class="line_2" style="x1:-1px; y1:43px; x2:646px; y2:43px; font-family:돋움체; "/>
			<line id="line1" class="line_2" style="x1:-1px; y1:100px; x2:646px; y2:100px; font-family:돋움체; "/>
			<line id="line2" class="line_2" style="x1:-1px; y1:122px; x2:646px; y2:122px; font-family:돋움체; "/>
		</group>
		<group id="group1" style="left:0px; top:210px; width:650px; height:315px; ">
			<select id="checkbox1" ref="/root/main/repdetl/R0276007" navindex="8" overflow="visible" appearance="full" style="left:95px; top:36px; width:60px; height:19px; letter-spacing:1; border-style:none; ">
				<choices>
					<item>
						<label>참여비</label>
						<value>Y</value>
					</item>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
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						if (sChkItem == "Y"){
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			</select>
			<caption id="caption10" style="left:375px; top:76px; width:10px; height:20px; ">)</caption>
			<select id="checkbox3" ref="/root/main/repdetl/R0276009" navindex="12" overflow="visible" appearance="full" style="left:335px; top:36px; width:45px; height:19px; letter-spacing:1; border-style:none; ">
				<choices>
					<item>
						<label>기타</label>
						<value>Y</value>
					</item>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
						
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						if (sChkItem == "Y"){
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			</select>
			<select id="checkbox4" ref="/root/main/repdetl/R0276008" navindex="10" overflow="visible" appearance="full" style="left:212px; top:36px; width:60px; height:19px; letter-spacing:1; border-style:none; ">
				<choices>
					<item>
						<label>교통비</label>
						<value>Y</value>
					</item>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
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			</select>
			<caption id="caption2" style="left:0px; top:1px; width:130px; height:34px; font-family:맑은 고딕; font-size:14pt; font-weight:bold; ">[ 청구내역 ]</caption>
			<caption id="caption3" class="cell_1" style="left:2px; top:36px; width:90px; height:19px; ">항       목</caption>
			<caption id="caption4" style="left:380px; top:36px; width:10px; height:20px; ">(</caption>
			<caption id="caption5" style="left:576px; top:36px; width:10px; height:20px; ">)</caption>
			<caption id="caption6" class="cell_1" style="left:2px; top:56px; width:90px; height:19px; ">방  문  일</caption>
			<input id="ipt_etc" ref="/root/main/repdetl/R0276010" disabled="true" navindex="13" style="left:390px; top:36px; width:183px; height:19px; "/>
			<input id="input2" ref="/root/main/repdetl/R0276011" navindex="14" inputtype="date" style="left:94px; top:56px; width:141px; height:19px; "/>
			<caption id="caption7" class="cell_1" style="left:2px; top:76px; width:90px; height:19px; ">청구 금액</caption>
			<input id="input3" ref="/root/main/repdetl/R0276012" navindex="15" style="left:130px; top:76px; width:105px; height:19px; text-align:right; "/>
			<caption id="caption8" style="left:97px; top:76px; width:30px; height:20px; letter-spacing:1; ">일금</caption>
			<input id="input4" ref="/root/main/repdetl/R0276013" navindex="16" format="#,###" style="left:278px; top:76px; width:95px; height:19px; text-align:right; "/>
			<caption id="caption9" style="left:240px; top:76px; width:40px; height:20px; ">정( \</caption>
			<caption id="caption11" style="left:2px; top:110px; width:130px; height:34px; font-family:맑은 고딕; font-size:14pt; font-weight:bold; ">[ 청 구 자 ]</caption>
			<caption id="caption12" class="cell_1" style="left:2px; top:145px; width:90px; height:19px; ">성      명</caption>
			<caption id="caption13" class="cell_1" style="left:2px; top:165px; width:90px; height:19px; ">생년월일</caption>
			<caption id="caption14" class="cell_1" style="left:2px; top:185px; width:90px; height:19px; ">주      소</caption>
			<caption id="caption19" class="cell_1" style="left:2px; top:205px; width:90px; height:19px; ">입금계좌번호</caption>
			<input id="input5" ref="/root/main/repdetl/R0276014" navindex="17" style="left:94px; top:145px; width:135px; height:19px; "/>
			<caption id="caption24" class="cell_1" style="left:231px; top:145px; width:125px; height:19px; ">연락처(휴대번호)</caption>
			<input id="input6" ref="/root/main/repdetl/R0276016" navindex="19" style="left:94px; top:165px; width:492px; height:19px; "/>
			<input id="input7" ref="/root/main/repdetl/R0276015" navindex="18" style="left:358px; top:145px; width:228px; height:19px; "/>
			<input id="input8" ref="/root/main/repdetl/R0276017" navindex="20" style="left:94px; top:185px; width:492px; height:19px; "/>
			<input id="input14" ref="/root/main/repdetl/R0276018" navindex="21" style="left:94px; top:205px; width:492px; height:19px; "/>
			<caption id="caption25" style="left:153px; top:36px; width:15px; height:20px; ">(</caption>
			<caption id="caption26" style="left:270px; top:35px; width:10px; height:20px; ">(</caption>
			<caption id="caption27" style="left:188px; top:35px; width:25px; height:20px; ">차)</caption>
			<caption id="caption28" style="left:306px; top:35px; width:25px; height:20px; ">차)</caption>
			<input id="ipt_19" ref="/root/main/repdetl/R0276019" disabled="true" navindex="9" style="left:162px; top:35px; width:25px; height:19px; "/>
			<input id="ipt_20" ref="/root/main/repdetl/R0276020" disabled="true" navindex="11" style="left:280px; top:35px; width:25px; height:19px; "/>
			<caption id="caption30" class="cell_1" style="left:2px; top:225px; width:90px; height:54px; ">비      고</caption>
			<textarea id="textarea3" ref="/root/main/repdetl/R0276022" style="left:94px; top:226px; width:492px; height:52px; "/>
		</group>
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