7907
| ID | 7907 |
|---|
| Data | 2019-06-07 |
|---|
| Symbol | 2019/06/07/7907 |
|---|
| Instytucja | Urząd Gminy w Psarach |
|---|
| Nazwa | Wniosek o przyjęcie kandydata do publicznego przedszkola |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
Pliki
Styl
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<body class="tresc-formularza">
<div class="page break-after" style="width:22cm;">
<div class="form-name text-center">
<div class="form-sign">
</div><div>
WNIOSEK O PRZYJĘCIE KANDYDATA DO PUBLICZNEGO PRZEDSZKOLA<br/>NA ROK SZKOLNY<br/><div class="input-short field">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Naglowek/wnio:RokSzkolny) != ''">
<span class="field-text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Naglowek/wnio:RokSzkolny"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
</div><div class="section">
<div class="title">
A. MIEJSCE SKŁADANIA WNIOSKU
</div><xsl:for-each select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja">
<div class="editable section-indent">
<table style="width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td class="text-center text-middle adresat"><div style="width:100%;">
<strong>
<br/><span>
<xsl:choose>
<xsl:when test="string(inst:NazwaInstytucji) != ''">
<xsl:value-of select="inst:NazwaInstytucji"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span><br/><span>
<xsl:choose>
<xsl:when test="string(adr:Adres/adr:KodPocztowy) != ''">
<xsl:value-of select="adr:Adres/adr:KodPocztowy"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span><span> </span><span>
<xsl:choose>
<xsl:when test="string(adr:Adres/adr:Miejscowosc) != ''">
<xsl:value-of select="adr:Adres/adr:Miejscowosc"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span>,<span> </span><span> </span><span>
<xsl:choose>
<xsl:when test="string(adr:Adres/adr:Ulica) != ''">
<xsl:value-of select="adr:Adres/adr:Ulica"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span><span> </span><span>
<xsl:choose>
<xsl:when test="string(adr:Adres/adr:Budynek) != ''">
<xsl:value-of select="adr:Adres/adr:Budynek"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span><br/><xsl:if test="string(adr:Kontakt/adr:Telefon) != ''">
Tel:<span> </span><span>
<xsl:choose>
<xsl:when test="string(adr:Kontakt/adr:Telefon) != ''">
<xsl:value-of select="adr:Kontakt/adr:Telefon"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span>
</xsl:if>
</strong>
</div></td>
</tr>
</table>
</div>
</xsl:for-each>
</div><div class="section">
<div class="title">
B. DANE KANDYDATA
</div><div class="subtitle1">
B.1 DANE IDENTYFIKACYJNE
</div><div class="editable section-indent">
<div style="border-bottom:1px solid black;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Kandydat/oso:Osoba"> <table style="width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td class="text-right field-label" style="width:35%;"><span style="width:100%;">
Nazwisko:
</span></td><td class="text-middle input-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:Nazwisko) != ''">
<span class="field-text">
<xsl:value-of select="oso:Nazwisko"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Pierwsze imię:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:Imie) != ''">
<span class="field-text">
<xsl:value-of select="oso:Imie"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Data urodzenia:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(../wnio:DataUrodzenia) != ''">
<span class="field-text">
<xsl:value-of select="../wnio:DataUrodzenia"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Pesel:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:IdOsoby/oso:PESEL) != ''">
<span class="field-text">
<xsl:value-of select="oso:IdOsoby/oso:PESEL"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Nr paszportu lub innego dokumentu potwierdzającego tożsamość:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:IdOsoby/oso:InnyIdentyfikator[oso:TypIdentyfikatora='PaszportLubInny']/oso:WartoscIdentyfikatora) != ''">
<span class="field-text">
<xsl:value-of select="oso:IdOsoby/oso:InnyIdentyfikator[oso:TypIdentyfikatora='PaszportLubInny']/oso:WartoscIdentyfikatora"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr>
</table>
</xsl:for-each>
</div>
</div><div class="subtitle1">
B.2 ADRES ZAMIESZKANIA
</div><div class="editable section-indent">
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/adr:Adres">
<div class="table-with-borders">
<table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td class="full-width" style="width:66%;"><div class="field" style="width:100%;">
<div class="field-label">Kraj</div>
<div class="field-value">
<span class="field-text">
<xsl:choose>
<xsl:when test="adr:Kraj='PL'">POLSKA</xsl:when>
<xsl:otherwise>☐</xsl:otherwise>
</xsl:choose>
</span>
</div>
</div></td><td style="width:34%;"><div class="field" style="width:100%;">
<div class="field-label">Województwo</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Wojewodztwo) != ''">
<span class="field-text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:33%;"><div class="field" style="width:100%;">
<div class="field-label">Powiat</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Powiat) != ''">
<span class="field-text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:33%;"><div class="field" style="width:100%;">
<div class="field-label">Gmina</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Gmina) != ''">
<span class="field-text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:34%;"><div class="field" style="width:100%;">
<div class="field-label">Miejscowość</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Miejscowosc) != ''">
<span class="field-text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:33%;"><div class="field" style="width:100%;">
<div class="field-label">Kod pocztowy</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:KodPocztowy) != ''">
<span class="field-text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:67%;"><div class="field" style="width:100%;">
<div class="field-label">Poczta</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Poczta) != ''">
<span class="field-text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:66%;"><div class="field" style="width:100%;">
<div class="field-label">Ulica</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Ulica) != ''">
<span class="field-text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:22%;"><div class="field" style="width:100%;">
<div class="field-label">Nr domu</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Budynek) != ''">
<span class="field-text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:22%;"><div class="field" style="width:100%;">
<div class="field-label">Nr lokalu</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Lokal) != ''">
<span class="field-text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table>
</div>
</xsl:for-each>
</div>
</div><div class="section">
<div class="title">
C. DANE RODZICÓW/PRAWNYCH OPIEKUNÓW KANDYDATA
</div><div class="editable section-indent min-height50">
<div>
<table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td><xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja">
<div style="width:100%;">
</div>
</xsl:for-each></td>
</tr>
</table><xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Wnioskodawcy/wnio:Wnioskodawca">
<xsl:for-each select="oso:Osoba"><table style="border-top:1px solid black;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:100%;"><table style="width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td class="text-right field-label" style="width:35%;"><span style="width:100%;">
Pokrewieństwo:
</span></td><td class="text-middle input-middle"><div class="field" style="width:100%;">
<div class="field-value">
<span class="field-text">
<xsl:choose>
<xsl:when test="../wnio:Pokrewienstwo='matka'">matka</xsl:when><xsl:when test="../wnio:Pokrewienstwo='ojciec'">ojciec</xsl:when><xsl:when test="../wnio:Pokrewienstwo='opiekun'">opiekun</xsl:when>
<xsl:otherwise>☐</xsl:otherwise>
</xsl:choose>
</span>
</div>
</div></td><td class="text-right" style="width:10%;" colspan="2"/>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label" style="width:35%;"><span style="width:100%;">
Nazwisko:
</span></td><td class="text-middle input-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:Nazwisko) != ''">
<span class="field-text">
<xsl:value-of select="oso:Nazwisko"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Pierwsze imię:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:Imie) != ''">
<span class="field-text">
<xsl:value-of select="oso:Imie"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Telefon:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(adr:Kontakt/adr:Telefon) != ''">
<span class="field-text">
<xsl:value-of select="adr:Kontakt/adr:Telefon"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td class="text-right field-label"><span style="width:100%;">
Email:
</span></td><td class="text-middle"><div class="field" style="width:100%;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(adr:Kontakt/adr:Email) != ''">
<span class="field-text">
<xsl:value-of select="adr:Kontakt/adr:Email"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td colspan="2"><div style="width:100%;">
<xsl:for-each select="adr:Adres">
<div>
<table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td class="full-width" style="width:66%;"><div class="field" style="width:100%;">
<div class="field-label">Kraj</div>
<div class="field-value">
<span class="field-text">
<xsl:choose>
<xsl:when test="adr:Kraj='PL'">POLSKA</xsl:when>
<xsl:otherwise>☐</xsl:otherwise>
</xsl:choose>
</span>
</div>
</div></td><td style="width:34%;"><div class="field" style="width:100%;">
<div class="field-label">Województwo</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Wojewodztwo) != ''">
<span class="field-text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:33%;"><div class="field" style="width:100%;">
<div class="field-label">Powiat</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Powiat) != ''">
<span class="field-text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:33%;"><div class="field" style="width:100%;">
<div class="field-label">Gmina</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Gmina) != ''">
<span class="field-text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:34%;"><div class="field" style="width:100%;">
<div class="field-label">Miejscowość</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Miejscowosc) != ''">
<span class="field-text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:33%;"><div class="field" style="width:100%;">
<div class="field-label">Kod pocztowy</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:KodPocztowy) != ''">
<span class="field-text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:67%;"><div class="field" style="width:100%;">
<div class="field-label">Poczta</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Poczta) != ''">
<span class="field-text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:66%;"><div class="field" style="width:100%;">
<div class="field-label">Ulica</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Ulica) != ''">
<span class="field-text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:22%;"><div class="field" style="width:100%;">
<div class="field-label">Nr domu</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Budynek) != ''">
<span class="field-text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="width:22%;"><div class="field" style="width:100%;">
<div class="field-label">Nr lokalu</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(adr:Lokal) != ''">
<span class="field-text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table>
</div>
</xsl:for-each>
</div></td>
</tr>
</table></td>
</tr>
</table></xsl:for-each>
</xsl:for-each>
</div>
</div>
</div><div class="section">
<div class="title">
D. SZCZEGÓŁY WNIOSKU
</div><div class="subtitle1">
PREFEROWANE PRZEDSZKOLA
</div><div class="editable section-indent">
<div style="border-bottom:1px solid black;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:SzczegolyWniosku"> <table class="table-with-borders" style="width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td><div style="width:100%;">
<div class="field">
<div class="field-value">
<span class="field-items">
<span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Jednostki/wnio:Jednostka/wnio:Wybor='1'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
pierwszy wybór
</span><span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Jednostki/wnio:Jednostka/wnio:Wybor='2'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
drugi wybór
</span>
</span>
</div>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td><div style="width:100%;">
<div class="field">
<div class="field-label">Nazwa:</div>
<div class="input-long field-value">
<div class="input-long"> <xsl:choose>
<xsl:when test="string(wnio:Jednostki/wnio:Jednostka/wnio:Nazwa) != ''">
<span class="field-text">
<xsl:value-of select="wnio:Jednostki/wnio:Jednostka/wnio:Nazwa"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td><div style="width:100%;">
<div class="field">
<div class="field-label">Grupa:</div>
<div class="input-long field-value">
<div class="input-long"> <xsl:choose>
<xsl:when test="string(wnio:Jednostki/wnio:Jednostka/wnio:Grupa) != ''">
<span class="field-text">
<xsl:value-of select="wnio:Jednostki/wnio:Jednostka/wnio:Grupa"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
</div></td>
</tr><tr style="vertical-align: top;">
<td><div style="width:100%;">
<div class="field">
<div class="field-label">Adres:</div>
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(wnio:Jednostki/wnio:Jednostka/wnio:Adres) != ''">
<span class="field-text">
<xsl:value-of select="wnio:Jednostki/wnio:Jednostka/wnio:Adres"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
</div></td>
</tr>
</table>
</xsl:for-each>
</div>
</div><div class="subtitle1">
DEKLAROWANE GODZINY
</div><div class="editable section-indent">
<div style="border-bottom:1px solid black;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:SzczegolyWniosku"> <table class="table-with-borders" style="width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="display:inline-block;"><div style="width:100%;display:inline-block;">
Pobyt dziecka w przedszkolu od godz:<div class="field" style="display:inline-block;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(wnio:Pobyt/wnio:Od) != ''">
<span class="field-text">
<xsl:value-of select="wnio:Pobyt/wnio:Od"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div><span> </span>do godz:<div class="field" style="display:inline-block;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(wnio:Pobyt/wnio:Do) != ''">
<span class="field-text">
<xsl:value-of select="wnio:Pobyt/wnio:Do"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</table>
</xsl:for-each>
</div>
</div><div class="subtitle1">
DEKLAROWANA LICZBA POSIŁKÓW
</div><div class="editable section-indent">
<div style="border-bottom:1px solid black;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:SzczegolyWniosku/wnio:Posilki"><table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td><div style="width:100%;">
<div class="field">
<div class="field-value">
<span class="field-items">
<span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Sniadanie='1' or contains(wnio:Sniadanie,' 1 ') or starts-with(wnio:Sniadanie,'1 ') or (' 1' = substring(wnio:Sniadanie, string-length(wnio:Sniadanie)- string-length(' 1') +1))">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
śniadania
</span>
</span>
</div>
</div><div class="field">
<div class="field-value">
<span class="field-items">
<span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Obiad='1' or contains(wnio:Obiad,' 1 ') or starts-with(wnio:Obiad,'1 ') or (' 1' = substring(wnio:Obiad, string-length(wnio:Obiad)- string-length(' 1') +1))">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
obiad
</span>
</span>
</div>
</div><div class="field">
<div class="field-value">
<span class="field-items">
<span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Podwieczorek='1' or contains(wnio:Podwieczorek,' 1 ') or starts-with(wnio:Podwieczorek,'1 ') or (' 1' = substring(wnio:Podwieczorek, string-length(wnio:Podwieczorek)- string-length(' 1') +1))">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
podwieczorek
</span>
</span>
</div>
</div>
</div></td>
</tr>
</table></xsl:for-each>
</div>
</div><div class="subtitle1">
NUMERY PESEL RODZEŃSTWA
</div><div class="editable section-indent">
<div style="border-bottom:1px solid black;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja"> <table class="table-with-borders" style="width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td style="width:100%;display:inline-block;"><div style="width:100%;display:inline-block;">
<div class="full-width field">
<div class="full-width field-value">
<div class="full-width"> <xsl:choose>
<xsl:when test="string(wnio:DodatkoweInformacje/wnio:InneDane) != ''">
<span class="field-text">
<xsl:value-of select="wnio:DodatkoweInformacje/wnio:InneDane"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
</div></td>
</tr>
</table>
</xsl:for-each>
</div>
</div>
</div><div class="section">
<div class="title">
E.OŚWIADCZENIA
</div><div class="editable section-indent">
<div style="border-bottom:1px solid black;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:ZalaczoneOswiadczenia/wnio:Grupa">
<table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td colspan="2"><div style="width:100%;">
<span class="subtitle1">
<xsl:choose>
<xsl:when test="string(wnio:Tytul) != ''">
<xsl:value-of select="wnio:Tytul"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span>
</div></td>
</tr>
</table><xsl:for-each select="wnio:Oswiadczenie">
<table style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td colspan="2"><div style="width:100%;">
<br/><span class="subtitle1">
<xsl:choose>
<xsl:when test="string(wnio:Tytul) != ''">
<xsl:value-of select="wnio:Tytul"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span>
</div></td>
</tr>
</table><table class="min-height50" style="border:none;width:100%;" cellpadding="0" cellspacing="0">
<tr style="vertical-align: top;">
<td class="text-left text-top" style="width:60%;"><div style="width:100%;">
<span>
<xsl:choose>
<xsl:when test="string(wnio:Tresc) != ''">
<xsl:value-of select="wnio:Tresc"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span><br/>
</div></td><td class="text-right text-top" style="width:40%;"><div style="width:100%;">
<div class="field">
<div class="field-value">
<span class="field-items">
<span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Jest='T'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
Tak
</span><span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Jest='N'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
Nie
</span>
</span>
</div>
</div>
</div></td>
</tr>
</table>
</xsl:for-each>
</xsl:for-each>
</div><div style="border-bottom:1px solid black;">
<div>
<ol>
<xsl:for-each select="wnio:TrescDokumentu/str:Zalaczniki/str:Zalacznik">
<li>
<div class="dotted-bottom-border" style="width:100%;">
<div class="field" style="display:inline-block;">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(str:OpisZalacznika) != ''">
<span class="field-text">
<xsl:value-of select="str:OpisZalacznika"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
</li>
</xsl:for-each>
</ol>
</div>
</div>
</div>
</div><div class="section">
<div class="title">
F. ANKIETA
</div><div class="editable section-indent">
<div>
<table class="table-with-borders" style="width:100%;" cellpadding="0" cellspacing="0">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Ankieta/wnio:Grupa">
<tr style="vertical-align: top;">
<td colspan="2"><div style="width:100%;">
<br/><span class="subtitle1 full-width">
<xsl:choose>
<xsl:when test="string(wnio:Nazwa) != ''">
<xsl:value-of select="wnio:Nazwa"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span><br/>
</div></td>
</tr><xsl:for-each select="wnio:Pytanie">
<tr style="vertical-align: top;">
<td class="text-left text-top" style="width:60%;"><div style="width:100%;">
<span>
<xsl:choose>
<xsl:when test="string(wnio:Tresc) != ''">
<xsl:value-of select="wnio:Tresc"/>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</span>
</div></td><td class="text-left text-top" style="width:40%;"><div style="width:100%;">
<div class="field">
<div class="field-value">
<span class="field-items">
<span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Odpowiedz='T'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
Tak
</span><span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Odpowiedz='N'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
Nie
</span><span class="radio-item">
<div class="radioChecker">
<xsl:choose>
<xsl:when test="wnio:Odpowiedz='Brak'">X</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
Odmawiam odpowiedzi
</span>
</span>
</div>
</div>
</div></td>
</tr>
</xsl:for-each>
</xsl:for-each>
</table>
</div>
</div>
</div><div class="section">
<div class="title">
G. PODPIS
</div><div class="editable section-indent">
<div>
<table style="width:100%;" cellpadding="0" cellspacing="0">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Podpis"> <tr style="vertical-align: top;">
<td style="border-bottom:1px solid black;width:50%;"><div style="width:100%;">
<div class="field">
<div class="field-label">Imię</div>
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:Imie) != ''">
<span class="field-text">
<xsl:value-of select="oso:Imie"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="border-bottom:1px solid black;border-left:1px solid black;width:50%;"><div style="width:100%;">
<div class="field">
<div class="field-label">Nazwisko</div>
<div class="field-value">
<xsl:choose>
<xsl:when test="string(oso:Nazwisko) != ''">
<span class="field-text">
<xsl:value-of select="oso:Nazwisko"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td>
</tr>
</xsl:for-each><tr style="vertical-align: top;">
<td style="width:50%;"><div style="width:100%;">
<div class="field">
<div class="field-label">Data wypełnienia (dzień-miesiąc-rok)</div>
<div class="field-value">
<xsl:choose>
<xsl:when test="string(wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Podpis/wnio:DataWypelnienia) != ''">
<span class="field-text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Deklaracje/wnio:Deklaracja/wnio:Podpis/wnio:DataWypelnienia"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div>
</div></td><td style="border-left:1px solid black;width:50%;"><div style="width:100%;">
<div class="field-label">
Podpis
</div><xsl:for-each select="ds:Signature/ds:SignatureValue">
<div class="signature-description">
Dokument został podpisany, aby go zweryfikować należy użyć<br/>oprogramowania do weryfikacji podpisu<br/>Data złożenia podpisu:<div class="signature-date field">
<div class="field-value">
<xsl:choose>
<xsl:when test="string(../ds:Object/descendant::*[local-name() = 'SigningTime']) != ''">
<span class="field-text">
<xsl:value-of select="../ds:Object/descendant::*[local-name() = 'SigningTime']"/>
</span>
</xsl:when>
<xsl:otherwise> </xsl:otherwise>
</xsl:choose>
</div>
</div><br/><div class="signature-bold">
Podpis elektroniczny
</div><br/>
</div>
</xsl:for-each>
</div></td>
</tr>
</table>
</div>
</div>
</div>
</div>
</body>
</html>
</xsl:for-each>
</xsl:template>
</xsl:stylesheet>