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   <td colspan="5" background="img/oho_ust_r2_c4.png" style="font-size:10px;">23&nbsp;Şubat&nbsp;2012  Pe rşembe&nbsp;00:41:04</td>
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   <td colspan="5" background="img/oho_ust_r6_c7.png" style="font-size:9px; color:white;"><a href="guzergahlar.asp" style="COLOR: #ffffff; TEXT-DECORATION: none"><b>OTOBUS GÜZERGAHLARI</b><br>Halk Otobüsleri güzergahları hakkında bilgi almak için tık’layınız.</a></td>
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<input name="secenek" value="31" type="radio" />Begeniyorum<br><input name="secenek" value="32" type="radio" />Daha İyi Olabilir<br><input name="secenek" value="33" type="radio" />Begenmiyorum<br>
<br>
<center><input id="gonder" name="gonder" value="Gönder" type="button" onclick="javascript:IletisimForm();"></center>

</form> 

</div>
</div>
 </td>

  </tr>
</table>
<script type="text/javascript">        
jQuery.noConflict();     
</script> </td>
   <td><img src="img/spacer.gif" width="1" height="47" border="0" alt="" /></td>
  </tr>
  <tr>
   <td colspan="5"><img name="oho_menu_r21_c1" src="img/oho_menu_r21_c1.png" width="199" height="9" border="0" id="oho_menu_r21_c1" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="9" border="0" alt="" /></td>
  </tr>
  <tr>
   <td><img name="oho_menu_r22_c1" src="img/oho_menu_r22_c1.png" width="3" height="131" border="0" id="oho_menu_r22_c1" alt="" /></td>
   <td colspan="3">
   <p>
	<object data="http://www.gulkentkart.com/flash/kartlar.swf" height="150" id="flash1" type="application/x-shockwave-flash" width="190"><param name="movie" value="http://www.gulkentkart.com/flash/kartlar.swf" /></object></p>

   </td>
   <td><img name="oho_menu_r22_c5" src="img/oho_menu_r22_c5.png" width="6" height="131" border="0" id="oho_menu_r22_c5" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="131" border="0" alt="" /></td>
  </tr>
</table></td>
		<td id="icerik">

<table height="100%" border=0 cellpadding=0 cellspacing=0 align="center" style="width: 500px" class="style5">
  <tr> 
    <td height=100%> <table width="500" height="100%" border="0" cellpadding="0" cellspacing="0">
        <tr> 
          <td style="padding-left:25;padding-right:40">
<form method="post" name="form"  class="cmxform" id="commentForm" action="insan_kaynaklari_kaydet.asp" style="display:inline">
            <table border="0" cellspacing="0" cellpadding="3" style="width: 500px">
              <tr>
                <td width="159"><span class="style3">Ad *</span></td>
                <td width="4" class="style3">:</td>
                <td width="441"><input type="text" size="25" maxlength="25" name="ad"></td>
                <td width="12" rowspan="9">&nbsp;</td>
              </tr>
              <tr>
                <td class="style3">Doğum Yeri *</td>
                <td class="style3">:</td>
                <td><input type="text" size="25" maxlength="25" name="dogumyer"></td>
              </tr>
              <tr>
                <td class="style3">Doğum Tarihi *</td>
                <td class="style3">:</td>
                <td>
                  <select name="dogumgun">
                    <option value="">          
                    <option  value='1'>1
                    <option  value='2'>2
                    <option  value='3'>3
                    <option  value='4'>4
                    <option  value='5'>5
                    <option  value='6'>6
                    <option  value='7'>7
                    <option  value='8'>8
                    <option  value='9'>9
                    <option  value='10'>10
                    <option  value='11'>11
                    <option  value='12'>12
                    <option  value='13'>13
                    <option  value='14'>14
                    <option  value='15'>15
                    <option  value='16'>16
                    <option  value='17'>17
                    <option  value='18'>18
                    <option  value='19'>19
                    <option  value='20'>20
                    <option  value='21'>21
                    <option  value='22'>22
                    <option  value='23'>23
                    <option value='24'>24
                    <option  value='25'>25
                    <option  value='26'>26
                    <option  value='27'>27
                    <option  value='28'>28
                    <option  value='29'>29
                    <option  value='30'>30
                    <option  value='31'>31
                  </select>
                  <select name="dogumay">
                    <option value="">          
                    <option value="Ocak" >Ocak
                    <option value="Şubat" >Şubat
                    <option value="Mart">Mart
                    <option value="Nisan">Nisan
                    <option value="Mayys">Mayıs
                    <option value="Haziran" >Haziran
                    <option value="Temmuz" >Temmuz
                    <option value="Ağustos" >Ağustos
                    <option value="Eylül" >Eylül
                    <option value="Ekim" >Ekim
                    <option value="Kasym">Kasım
                    <option value="Aralyk" >Aralık
                  </select>
                  <select name="dogumyil">
                    <option value="">          
                    <option  value='1940'>1940
                    <option  value='1941'>1941
                    <option  value='1942'>1942
                    <option  value='1943'>1943
                    <option  value='1944'>1944
                    <option  value='1945'>1945
                    <option  value='1946'>1946
                    <option  value='1947'>1947
                    <option  value='1948'>1948
                    <option  value='1949'>1949
                    <option  value='1950'>1950
                    <option  value='1951'>1951
                    <option  value='1952'>1952
                    <option  value='1953'>1953
                    <option  value='1954'>1954
                    <option  value='1955'>1955
                    <option  value='1956'>1956
                    <option  value='1957'>1957
                    <option  value='1958'>1958
                    <option  value='1959'>1959
                    <option  value='1960'>1960
                    <option  value='1961'>1961
                    <option  value='1962'>1962
                    <option  value='1963'>1963
                    <option  value='1964'>1964
                    <option  value='1965'>1965
                    <option  value='1966'>1966
                    <option  value='1967'>1967
                    <option  value='1968'>1968
                    <option  value='1969'>1969
                    <option  value='1970'>1970
                    <option  value='1971'>1971
                    <option  value='1972'>1972
                    <option  value='1973'>1973
                    <option  value='1974'>1974
                    <option  value='1975'>1975
                    <option  value='1976'>1976
                    <option  value='1977'>1977
                    <option  value='1978'>1978
                    <option  value='1979'>1979
                    <option  value='1980'>1980
                    <option  value='1981'>1981
                    <option  value='1982'>1982
                    <option  value='1983'>1983
                    <option  value='1984'>1984
                    <option  value='1985'>1985
                    <option  value='1986'>1986
                    <option  value='1987'>1987
                    <option  value='1988'>1988
                    <option  value='1989'>1989
                    <option  value='1990'>1990
                    <option  value='1991'>1991
                    <option  value='1992'>1992
                    <option  value='1993'>1993
                    <option  value='1994'>1994
                    <option  value='1995'>1995
                  </select>
                </td>
              </tr>
              <tr>
                <td class="style3">Mesleğiniz *<br>
                    <span class="kucuk">(varsa akademik unvanınız)</span></td>
                <td class="style3">:</td>
                <td><input type="text" size="25" maxlength="25" name="meslek"></td>
              </tr>
              <tr>
                <td class="style3">Sigorta Sicil Numaranız</td>
                <td class="style3">:</td>
                <td><input type="text" size="25" maxlength="25" name="ssno"></td>
              </tr>
              <tr>
                <td class="style3">Ev Telefonunuz *</td>
                <td class="style3">:</td>
                <td><input type="text" size="15" maxlength="15" name="evtel"></td>
              </tr>
              <tr>
                <td class="style3">İş Telefonunuz</td>
                <td class="style3">:</td>
                <td><input type="text" size="15" maxlength="15" name="istel"></td>
              </tr>
              <tr>
                <td class="style3">Ev Adresiniz *</td>
                <td class="style3">:</td>
                <td><input type="text" size="30" maxlength="60" name="evadres"></td>
              </tr>
              <tr>
                <td class="style3">E-mail Adresiniz</td>
                <td class="style3">:</td>
                <td><input type="text" size="25" maxlength="50" name="Email"></td>
              </tr>
            </table>
            <br>
            <table border="0" cellpadding="3" cellspacing="0" style="width: 500px">
              <tr>
                <td colspan="3" class="style3"><div align="center">ÖĞRENİM 
					DURUMUNUZ </div></td>
              </tr>
              <tr>
                <td colspan="3" class="style3">Ortaokul'dan başlayarak, okulun 
				adını, mezun olduğunuz bölüm veya branşı, devam ettiğiniz 
				yılları ve mezuniyet derecenizi yazınız</td>
              </tr>
              <tr>
                <td width="160" class="style3">Ortaokul</td>
                <td width="4" class="style3">:</td>
                <td width="458"><input type="text" size="40" maxlength="60" name="ortaokul"></td>
              </tr>
              <tr>
                <td class="style3">Lise</td>
                <td class="style3">:</td>
                <td><input type="text" size="40" maxlength="60" name="lise"></td>
              </tr>
              <tr>
                <td class="style3">Üniversite</td>
                <td class="style3">:</td>
                <td><input type="text" size="40" maxlength="60" name="universite"></td>
              </tr>
              <tr>
                <td class="style3">Yüksek Lisans</td>
                <td class="style3">:</td>
                <td><input type="text" size="40" maxlength="60" name="yuksek"></td>
              </tr>
            </table>
            <br>
            <table border="0" cellpadding="3" cellspacing="0" style="width: 500px">
              <tr>
                <td colspan="5"><div align="center" class="style3">YABANCI DİL </div></td>
                </tr>
              <tr>
                <td><span class="style3">Bildiğiniz Yabancı Diller</span></td>
                <td><span class="style3">Nasıl Öğrendiniz</span></td>
                <td><span class="style3">Konuşma</span></td>
                <td><span class="style3">Okuma Anlama</span></td>
                <td class="style3">Yazma</td>
              </tr>
              <tr>
                <td>
                  <SELECT NAME="dil1" style="width: 144px">
                    <OPTION  VALUE="">Seçiniz</OPTION>
                    <OPTION  VALUE="Yİngilizce">İngilizce&nbsp;(English)</OPTION>
                    <OPTION  VALUE="Almanca">Almanca&nbsp;(German)</OPTION>
                    <OPTION  VALUE="Fransızca">Fransızca&nbsp;(French)</OPTION>
                    <OPTION  VALUE="İtalyanca">İtalyanca&nbsp;(Italian)</OPTION>
                    <OPTION  VALUE="İspanyolca">İspanyolca&nbsp;(Spanish)</OPTION>
                    <OPTION  VALUE="Portekizce">Portekizce&nbsp;(Portugese)</OPTION>
                    <OPTION  VALUE="Rusça">Rusça&nbsp;(Russian)</OPTION>
                    <OPTION  VALUE="Japonca">Japonca&nbsp;(Japanese)</OPTION>
                    <OPTION  VALUE="Çince">Çince&nbsp;(Chinese)</OPTION>
                    <OPTION  VALUE="Bulgarca">Bulgarca&nbsp;(Bulgarian)</OPTION>
                    <OPTION  VALUE="Özbekçe">Özbekçe&nbsp;(Uzbek)</OPTION>
                    <OPTION  VALUE="Kırgızca">Kırgızca&nbsp;(Kyrgyz)</OPTION>
                    <OPTION  VALUE="Kazakça">Kazakça&nbsp;(Kazakh)</OPTION>
                    <OPTION  VALUE="Arapça">Arapça&nbsp;(Arabic)</OPTION>
                    <OPTION  VALUE="Farsca">Farsca&nbsp;(Farsi)</OPTION>
                    <OPTION  VALUE="Yunanca">Yunanca&nbsp;(Greek)</OPTION>
                    <OPTION  VALUE="Sırpça">Sırpça&nbsp;(Serbian)</OPTION>
                    <OPTION  VALUE="Tatarca">Tatarca&nbsp;(Tatar)</OPTION>
                    <OPTION  VALUE="Diğer">Diğer&nbsp;(Other)</OPTION>
                  </SELECT>
                </td>
                <td>
                  <select name="dil1nasil" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="Yük Öğretim">İlk Öğretim</option>
                    <option  value="Lise">Lise</option>
                    <option  value="Üniversite">Üniversite</option>
                    <option  value="Kurs">Kurs</option>
                    <option  value="Kendim">Kendim</option>
                    <option value="Ana Dil">Ana Dil</option>
                  </select>
                </td>
                <td>
                  <select name="dil1konusmaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
                <td>
                  <select name="dil1anlamaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
                <td>
                  <select name="dil1yazmaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
              </tr>
              <tr>
                <td>
                  <SELECT NAME="dil2" style="width: 144px">
                    <OPTION  VALUE="">Seçiniz</OPTION>
                    <OPTION  VALUE="İngilizce">İngilizce&nbsp;(English)</OPTION>
                    <OPTION  VALUE="Almanca">Almanca&nbsp;(German)</OPTION>
                    <OPTION  VALUE="Fransızca">Fransızca&nbsp;(French)</OPTION>
                    <OPTION  VALUE="İtalyanca">İtalyanca&nbsp;(Italian)</OPTION>
                    <OPTION  VALUE="İspanyolca">İspanyolca&nbsp;(Spanish)</OPTION>
                    <OPTION  VALUE="Portekizce">Portekizce&nbsp;(Portugese)</OPTION>
                    <OPTION  VALUE="Rusça">Rusça&nbsp;(Russian)</OPTION>
                    <OPTION  VALUE="Japonca">Japonca&nbsp;(Japanese)</OPTION>
                    <OPTION  VALUE="Çince">Çince&nbsp;(Chinese)</OPTION>
                    <OPTION  VALUE="Bulgarca">Bulgarca&nbsp;(Bulgarian)</OPTION>
                    <OPTION  VALUE="Özbekçe">Özbekçe&nbsp;(Uzbek)</OPTION>
                    <OPTION  VALUE="Kırgızca">Kırgızca&nbsp;(Kyrgyz)</OPTION>
                    <OPTION  VALUE="Kazakça">Kazakça&nbsp;(Kazakh)</OPTION>
                    <OPTION  VALUE="Arapça">Arapça&nbsp;(Arabic)</OPTION>
                    <OPTION  VALUE="Farsca">Farsca&nbsp;(Farsi)</OPTION>
                    <OPTION  VALUE="Yunanca">Yunanca&nbsp;(Greek)</OPTION>
                    <OPTION  VALUE="Sırpça">Sırpça&nbsp;(Serbian)</OPTION>
                    <OPTION  VALUE="Tatarca">Tatarca&nbsp;(Tatar)</OPTION>
                    <OPTION  VALUE="Diğer">Diğer&nbsp;(Other)</OPTION>
                  </SELECT>
                </td>
                <td>
                  <select name="dil2nasil" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="2">İlk Öğretim</option>
                    <option  value="">Lise</option>
                    <option  value="1">Üniversite</option>
                    <option  value="3">Kurs</option>
                    <option  value="4">Kendim</option>
                    <option value="5">Ana Dil</option>
                  </select>
                </td>
                <td>
                  <select name="dil2konusmaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
                <td>
                  <select name="dil2anlamaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
                <td>
                  <select name="dil2yazmaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
              </tr>
              <tr>
                <td>
                  <SELECT NAME="dil3" style="width: 144px">
                    <OPTION  VALUE="">Seçiniz</OPTION>
                    <OPTION  VALUE="İngilizce">İngilizce&nbsp;(English)</OPTION>
                    <OPTION  VALUE="Almanca">Almanca&nbsp;(German)</OPTION>
                    <OPTION  VALUE="Fransyzca">Fransızca&nbsp;(French)</OPTION>
                    <OPTION  VALUE="İtalyanca">İtalyanca&nbsp;(Italian)</OPTION>
                    <OPTION  VALUE="İspanyolca">İspanyolca&nbsp;(Spanish)</OPTION>
                    <OPTION  VALUE="Portekizce">Portekizce&nbsp;(Portugese)</OPTION>
                    <OPTION  VALUE="Rusça">Rusça&nbsp;(Russian)</OPTION>
                    <OPTION  VALUE="Japonca">Japonca&nbsp;(Japanese)</OPTION>
                    <OPTION  VALUE="Çince">Çince&nbsp;(Chinese)</OPTION>
                    <OPTION  VALUE="Bulgarca">Bulgarca&nbsp;(Bulgarian)</OPTION>
                    <OPTION  VALUE="Özbekçe">Özbekçe&nbsp;(Uzbek)</OPTION>
                    <OPTION  VALUE="Kırgızca">Kırgızca&nbsp;(Kyrgyz)</OPTION>
                    <OPTION  VALUE="Kazakça">Kazakça&nbsp;(Kazakh)</OPTION>
                    <OPTION  VALUE="Arapça">Arapça&nbsp;(Arabic)</OPTION>
                    <OPTION  VALUE="Farsca">Farsca&nbsp;(Farsi)</OPTION>
                    <OPTION  VALUE="Yunanca">Yunanca&nbsp;(Greek)</OPTION>
                    <OPTION  VALUE="Sırpça">Sırpça&nbsp;(Serbian)</OPTION>
                    <OPTION  VALUE="Tatarca">Tatarca&nbsp;(Tatar)</OPTION>
                    <OPTION  VALUE="Diğer">Diğer&nbsp;(Other)</OPTION>
                  </SELECT>
                </td>
                <td>
                  <select name="dil3nasil" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="2">İlk Öğretim</option>
                    <option  value="">Lise</option>
                    <option  value="1">Üniversite</option>
                    <option  value="3">Kurs</option>
                    <option  value="4">Kendim</option>
                    <option value="5">Ana Dil</option>
                  </select>
                </td>
                <td>
                  <select name="dil3konusmaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
                <td>
                  <select name="dil3anlamaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
                <td>
                  <select name="dil3yazmaseviye" size="1">
                    <option  value="">Seçiniz</option>
                    <option  value="az">Az</option>
                    <option  value="orta">Orta</option>
                    <option  value="iyi">iyi</option>
                    <option  value="çok iyi">Çok iyi</option>
                  </select>
                </td>
              </tr>
            </table>
            <br>
            <table border="0" cellpadding="0" cellspacing="0" style="width: 500px">
              <tr>
                <td><div align="center" class="style3">AİLENİZ</div></td>
                <td>                  <div align="center" class="style3">
					ÇOCUKLARINIZ</div></td>
              </tr>
              <tr>
                <td>
                  <table width="100%" cellpadding="3" cellspacing="0" border="0">
                    <tr>
                      <td>&nbsp;</td>
                      <td class="style3">Adı</td>
                      <td class="style3">Mesleği</td>
                    </tr>
                    <tr>
                      <td class="style3">Eşinizin</td>
                      <td><input type="text" size="10" maxlength="60" name="esad"></td>
                      <td><input type="text" size="10" maxlength="40" name="esmeslek"></td>
                    </tr>
                    <tr>
                      <td class="style3">Babanızın</td>
                      <td><input type="text" size="10" maxlength="60" name="babaad"></td>
                      <td><input type="text" size="10" maxlength="40" name="babameslek"></td>
                    </tr>
                    <tr>
                      <td class="style3">Annenizin</td>
                      <td><input type="text" size="10" maxlength="60" name="annead"></td>
                      <td><input type="text" size="10" maxlength="40" name="annemeslek"></td>
                    </tr>
                </table></td>
                <td>
                  <table width="100%" cellpadding="3" cellspacing="0" border="0">
                    <tr class="style3">
                      <td><span class="style4">Adı</span></td>
                      <td><span class="style4">Yaşı</span></td>
                    </tr>
                    <tr>
                      <td><input type="text" size="10" maxlength="60" name="cocuk1ad"></td>
                      <td><input type="text" size="10" maxlength="40" name="cocuk1yas"></td>
                    </tr>
                    <tr>
                      <td><input type="text" size="10" maxlength="60" name="cocuk2ad"></td>
                      <td><input type="text" size="10" maxlength="40" name="cocuk2yas"></td>
                    </tr>
                    <tr>
                      <td><input type="text" size="10" maxlength="60" name="cocuk3ad"></td>
                      <td><input type="text" size="10" maxlength="40" name="cocuk3yas"></td>
                    </tr>
                </table></td>
              </tr>
            </table>
            <br>
            <table border="0" cellspacing="0" cellpadding="3" style="width: 500px">
              <tr>
                <td width="414" class="style3">Herhangi bir dernek/kulübe üye 
				misiniz?<br>
                    <span class="kucuk">(Akademik, Bilimsel, Ticari, Spor, Hobi, 
				Mesleki ya da meslek harici dernekler veya kulüpler)</span></td>
                <td width="4" class="style3">:</td>
                <td width="204" class="style3"><input type="radio" name="kulup" value="Evet">
                  Evet
                    <input type="radio" name="kulup" checked value="Hayyr">
                  Hayır</td>
              </tr>
              <tr>
                <td class="style3">Hobileriniz ya da özel meraklarınız</td>
                <td class="style3">:</td>
                <td><input type="text" name="hobi"></td>
              </tr>
              <tr>
                <td class="style3">Bakmakla mükellef olduğunuz kişiler<br>
                    <span class="kucuk">(Sadece yakınlık derecelerini yazınız)</span></td>
                <td class="style3">:</td>
                <td><input type="text" name="bakici"></td>
              </tr>
              <tr>
                <td class="style3">Herhangi bir bedeni arızanız var mı?<br>
                    <span class="kucuk">(Devam eden hastalığız, allerjiniz, 
				sakatlığınız, vb.)</span></td>
                <td class="style3">:</td>
                <td class="style3">
                  <input type="radio" name="ariza" checked value="Yok">
                  Yok &nbsp;&nbsp;
                  <input type="radio" name="ariza"  value="Var">
                  Var </td>
              </tr>
              <tr>
                <td class="style3">Askerliğinizi yaptınız mı?<br>
                    <span class="kucuk">(Tecilli ise tecil süresi)</span></td>
                <td class="style3">:</td>
                <td>
                  <select name="askerlik">
                    <option  value="">Seçiniz</option>
                    <option  value="Yapyldy/Muaf">Yapıldı / Muaf&nbsp;</option>
                    <option  value="Yapylmady">Yapılmadı</option>
                    <option value="Tecilli">Tecilli </option>
                  </select>
                  <select name="tecilyil" size="1">
                    <option  value=""></option>
                    <option  value="1">1</option>
                    <option value="2">2</option>
                    <option  value="3">3</option>
                    <option  value="4">4</option>
                    <option  value="5">5</option>
                  </select>
                  <span class="style3">Yıl*</span></td>
              </tr>
              <tr>
                <td class="style3">Şoför ehliyetiniz var mı?<br>
                    <span class="kucuk">(kaç yıllık olduğunu yazınız)</span></td>
                <td class="style3">:</td>
                <td class="style3">
                  <input type="radio" name="ehliyet" checked value="Var"  >
                  Var &nbsp;&nbsp;
                  <input type="radio" name="ehliyet"  value="Yok" >
                  Yok&nbsp;&nbsp;
                  <input type="text" size="2" maxlength="2" name="ehliyetyil">
        		  Yıl *</td>
              </tr>
              <tr>
                <td class="style3">Bilgisayar Kullanımı<br>
                    <span class="kucuk">(Bilgisayar kullanıyorsanız, kaç yıldır, 
				hangi donanımlar ve yazılımlarla çalışabiliyorsunuz<br>
                  uzmanlaştığınız paket programlar, vb. ayrıntı veriniz)</span></td>
                <td class="style3">:</td>
                <td>&nbsp;</td>
              </tr>
              <tr>
                <td colspan="3" align="center">
				<textarea rows="5" name="bilgisayar" style="width: 354px"></textarea></td>
              </tr>
            </table>
            <br>
            <table border="0" cellspacing="0" cellpadding="3" style="width: 500px">
              <tr>
                <td class="style3">Hangi görevde çalışmak istiyorsunuz?</td>
                <td class="style3">:</td>
                <td><input type="text" size="30" maxlength="40" name="gorev"></td>
              </tr>
              <tr>
                <td class="style3">Son çalıştığınız işyerindeki aylık ücretiniz</td>
                <td class="style3">:</td>
                <td><input type="text" size="11" maxlength="11" name="eskiucret">
                  <span class="style3">                  TL</span></td>
              </tr>
              <tr>
                <td class="style3">İstediğiniz aylık ücret<br>
                    <span class="kucuk">(Emeğinizin Sizce Değeri)</span></td>
                <td class="style3">:</td>
                <td><input type="text" size="11" maxlength="11" name="ucretistek">
                  <span class="style3">                  TL</span></td>
              </tr>
              <tr>
                <td class="style3">İşe başlayabileceğiniz tarih</td>
                <td class="style3">:</td>
                <td>
                  <select name="isbasgun">
                    <option value="">          
                    <option  value='1'>1
                    <option  value='2'>2
                    <option  value='3'>3
                    <option  value='4'>4
                    <option  value='5'>5
                    <option  value='6'>6
                    <option  value='7'>7
                    <option  value='8'>8
                    <option  value='9'>9
                    <option  value='10'>10
                    <option  value='11'>11
                    <option  value='12'>12
                    <option  value='13'>13
                    <option  value='14'>14
                    <option  value='15'>15
                    <option  value='16'>16
                    <option  value='17'>17
                    <option  value='18'>18
                    <option  value='19'>19
                    <option  value='20'>20
                    <option  value='21'>21
                    <option  value='22'>22
                    <option  value='23'>23
                    <option value='24'>24
                    <option  value='25'>25
                    <option  value='26'>26
                    <option  value='27'>27
                    <option  value='28'>28
                    <option  value='29'>29
                    <option  value='30'>30
                    <option  value='31'>31
                  </select>
                  <select name="isbasay">
                    <option value="">          
                    <option value="Ocak" >Ocak
                    <option value="Şubat" >Şubat
                    <option value="Mart">Mart
                    <option value="Nisan">Nisan
                    <option value="Mayıs">Mayıs
                    <option value="Haziran" >Haziran
                    <option value="Temmuz" >Temmuz
                    <option value="Ağustos" >Ağustos
                    <option value="Eylül" >Eylül
                    <option value="Ekim" >Ekim
                    <option value="Kasım">Kasım
                    <option value="Aralık" >Aralık
                  </select>
                  <select name="isbasyil">
                    <option value="">          
                    <option value="1" >2007
                    <option value="2" >2008
                    <option value="3">2009
                    <option value="4" >2010
                  </select>
                </td>
              </tr>
              <tr>
                <td class="style3">Son çalıştığınız işyeriyle temas kurabilir 
				miyiz?</td>
                <td class="style3">:</td>
                <td class="style3"><input type="radio" name="reftemas" checked value="Evet">
                  Evet
                    <input type="radio" name="reftemas" value="Hayyr">
                    Hayır</td>
              </tr>
            </table>
            <br>
            <table border="0" cellpadding="3" cellspacing="0" style="width: 500px">
              <tr class="style3">
                <td><span class="style4">Firma Adı ve Yeri</span></td>
                <td><span class="style4">Göreviniz</span></td>
                <td><span class="style4">İlk Amiriniz</span></td>
                <td><span class="style4">Tarihler</span></td>
                <td><span class="style4">Ayrılma Nedeni</span></td>
              </tr>
              <tr>
                <td><input type="text" size="8" maxlength="40" name="firmaad1"></td>
                <td><input type="text" size="8" maxlength="40" name="isgorev1"></td>
                <td><input type="text" size="8" maxlength="40" name="isamir1"></td>
                <td><input type="text" size="8" maxlength="40" name="istarihler1"></td>
                <td><input type="text" size="8" maxlength="40" name="isayrilneden1"></td>
              </tr>
              <tr>
                <td><input type="text" size="8" maxlength="40" name="firmaad2"></td>
                <td><input type="text" size="8" maxlength="40" name="isgorev2"></td>
                <td><input type="text" size="8" maxlength="40" name="isamir2"></td>
                <td><input type="text" size="8" maxlength="40" name="istarihler2"></td>
                <td><input type="text" size="8" maxlength="40" name="isayrilneden2"></td>
              </tr>
              <tr>
                <td><input type="text" size="8" maxlength="40" name="firmaad3"></td>
                <td><input type="text" size="8" maxlength="40" name="isgorev3"></td>
                <td><input type="text" size="8" maxlength="40" name="isamir3"></td>
                <td><input type="text" size="8" maxlength="40" name="istarihler3"></td>
                <td><input type="text" size="8" maxlength="40" name="isayrilneden3"></td>
              </tr>
            </table>
            <table border="0" cellpadding="3" cellspacing="0" style="width: 500px">
              <tr class="style3">
                <td colspan="4"><span class="style4">Hakkınızda referans 
				verebilecek, akrabanız olmayan kişiler<br>
                  (Tercihen daha önce çalıştığınız işyerlerindeki amirleriniz ya 
				da çalıştığınız / hizmet verdiğiniz kişiler)</span></td>
              </tr>
              <tr class="style3">
                <td><span class="style4">Adı Soyadı</span></td>
                <td><span class="style4">İşi / Unvanı</span></td>
                <td><span class="style4">Adresi / Çalıştığı Yer</span></td>
                <td><span class="style4">Telefon / Fax No</span></td>
              </tr>
              <tr>
                <td><input type="text" size="15" maxlength="40" name="refad1"></td>
                <td><input type="text" size="10" maxlength="40" name="refunvan1"></td>
                <td><input type="text" size="10" maxlength="40" name="refadres1"></td>
                <td><input type="text" size="10" maxlength="40" name="reftel1"></td>
              </tr>
              <tr>
                <td><input type="text" size="15" maxlength="40" name="refad2"></td>
                <td><input type="text" size="10" maxlength="40" name="refunvan2"></td>
                <td><input type="text" size="10" maxlength="40" name="refadres2"></td>
                <td><input type="text" size="10" maxlength="40" name="reftel2"></td>
              </tr>
              <tr>
                <td><input type="text" size="15" maxlength="40" name="refad3"></td>
                <td><input type="text" size="10" maxlength="40" name="refunvan3"></td>
                <td><input type="text" size="10" maxlength="40" name="refadres3"></td>
                <td><input type="text" size="10" maxlength="40" name="reftel3"></td>
              </tr>
            </table>
            <table border="0" cellpadding="0" cellspacing="0" style="width: 500px">
              <tr>
                <td><input type="hidden" name="SoupermailConf" value="forms/insan.con"></td>
              </tr>
              <tr>
                <td align="center"><input type="submit" value=" Kaydet " class="buton" /></td>
              </tr>
              <tr>
                <td align="center">&nbsp;</td>
              </tr>
              <tr>
                <td align="center"><table border="0" style="width: 501px">
                  <tr valign="top">
                    <td>Yanında * olan boşluklar doldurulması zorunlu olan 
					bölümlerdir.</td>
                  </tr>
                  <tr valign="top">
                    <td>Müracaat sahipleri, gerekli durumlarda yazılı veya sözlü 
					olarak sınanabilirler.</td>
                  </tr>
                  <tr valign="top">
                    <td>Yanlış ve yanıltıcı bilgi verenler, işe başlatılmış 
					olsalar dahi, durumun anlaşılması halinde işten 
					çıkartılabilirler.</td>
                  </tr>
                  <tr valign="top">
                    <td>İşe alınmasına karar verilenler için iş kanunu 
					çerçevesinde deneme süresi geçerli olup, bu sürenin sonunda 
					uygun görülen aday, resmen işe başlatılır.</td>
                  </tr>
                </table></td>
              </tr>
            </table>
          </form>            <p align="center">&nbsp;</p></td>
        </tr>
      </table></td>
  </tr>
  </table>


</td>
	</tr>
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