<tr>
<td align=left nowrap>| . $locale->text("Beraternummer") . qq|</td>
<td><input name=beraternr size=10 maxlength=7 value="$form->{beraternr}"></td>
<tr>
<td align=left nowrap>| . $locale->text("Beraternummer") . qq|</td>
<td><input name=beraternr size=10 maxlength=7 value="$form->{beraternr}"></td>
<td align=left nowrap>| . $locale->text("DFV-Kennzeichen") . qq|</td>
<td><input name=dfvkz size=5 maxlength=2 value="$form->{dfvkz}"></td>
</tr>
<tr>
<td align=left nowrap>| . $locale->text("Beratername") . qq|</td>
<td><input name=beratername size=10 maxlength=9 value="$form->{beratername}"></td>
<td align=left nowrap>| . $locale->text("DFV-Kennzeichen") . qq|</td>
<td><input name=dfvkz size=5 maxlength=2 value="$form->{dfvkz}"></td>
</tr>
<tr>
<td align=left nowrap>| . $locale->text("Beratername") . qq|</td>
<td><input name=beratername size=10 maxlength=9 value="$form->{beratername}"></td>
<td align=left nowrap>| . $locale->text("Password") . qq|</td>
<td><input name=passwort size=5 maxlength=4 value="$form->{passwort}"></td>
</tr>
<tr>
<td align=left nowrap>| . $locale->text("Mandantennummer") . qq|</td>
<td><input name=mandantennr size=10 maxlength=5 value="$form->{mandantennr}"></td>
<td align=left nowrap>| . $locale->text("Password") . qq|</td>
<td><input name=passwort size=5 maxlength=4 value="$form->{passwort}"></td>
</tr>
<tr>
<td align=left nowrap>| . $locale->text("Mandantennummer") . qq|</td>
<td><input name=mandantennr size=10 maxlength=5 value="$form->{mandantennr}"></td>
<td align=left nowrap>| . $locale->text("Datenträgernummer") . qq|</td>
<td><input name=datentraegernr size=5 maxlength=3 value="$form->{datentraegernr}"></td>
<td align=left nowrap>| . $locale->text("Datenträgernummer") . qq|</td>
<td><input name=datentraegernr size=5 maxlength=3 value="$form->{datentraegernr}"></td>
<tr>
<td><input checked name=kne type=checkbox class=checkbox value=1> |
. $locale->text("Kontonummernerweiterung (KNE)")
. qq|</td>
<td></td>
<tr>
<td><input checked name=kne type=checkbox class=checkbox value=1> |
. $locale->text("Kontonummernerweiterung (KNE)")
. qq|</td>
<td></td>
<td align=left nowrap>| . $locale->text("Abrechnungsnummer") . qq|</td>
<td><input name=abrechnungsnr size=5 maxlength=3 value="$form->{abrechnungsnr}"></td>
</tr>
<td align=left nowrap>| . $locale->text("Abrechnungsnummer") . qq|</td>
<td><input name=abrechnungsnr size=5 maxlength=3 value="$form->{abrechnungsnr}"></td>
</tr>
<td align=left><input name=zeitraum class=radio type=radio value=quartal> </td><td align=left>|
. $locale->text('Quartal')
. qq|</td>
<td align=left><input name=zeitraum class=radio type=radio value=quartal> </td><td align=left>|
. $locale->text('Quartal')
. qq|</td>
<td align=left><input name=zeitraum class=radio type=radio value=zeit> </td><td align=left>|
. $locale->text('Datum von')
. qq|</td>
<td align=left><input name=transdatefrom size=8></td>
<td align=left>| . $locale->text('bis') . qq|</td>
<td align=left><input name=zeitraum class=radio type=radio value=zeit> </td><td align=left>|
. $locale->text('Datum von')
. qq|</td>
<td align=left><input name=transdatefrom size=8></td>
<td align=left>| . $locale->text('bis') . qq|</td>