<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>Untitled Document</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
</head>
<?
$tckimlikno = $_POST[tckimlikno];
$vtarih = $_POST[vtarih];
$adi = $_POST[adi];
$soyadi = $_POST[soyadi];
$babaadi = $_POST[babaadi];
$anneadi = $_POST[anneadi];
$baybayan = $_POST[baybayan];
$email = $_POST[email];
$ceptel = $_POST[ceptel];
$istel = $_POST[istel];
$evtel = $_POST[evtel];
$askerlik = $_POST[askerlik];
$okul = $_POST[okul];
$medenidurum = $_POST[medenidurum];
$aile = $_POST[aile];
$evadresi = $_POST[evadresi];
$oyil = $_POST[oyil];
$aay = $_POST[aay];
$evbilgileri = $_POST[evbilgileri];
$meslek = $_POST[meslek];
$gorevi = $_POST[gorevi];
$adresi = $_POST[adresi];
$sosyal = $_POST[sosyal];
if ($tckimlikno <>'' and $adi <>'' and $soyadi <>'')
{
$address="[email protected]";
$subject="formu";
$texts='<html><body>
<table border=1 width=100% id=table1>
<tr>
<td width=102><font face=Verdana size=2><b>TC kimlik no</b></font></td>
<td width=8><b>:</b></td><td><font face=Verdana size=2>' ."$tckimlikno".'</font></td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>v-tarih</font></b></td>
<td width=8><b>:</b></td><td>' ."$vtarih".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>Adı</font></b></td>
<td width=8><b>:</b></td><td>' ."$adi".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>soyAdı</font></b></td>
<td width=8><b>:</b></td><td>' ."$soyadi".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>anneadi</font></b></td>
<td width=8><b>:</b></td><td>' ."$anneadi".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>babaadi</font></b></td>
<td width=8><b>:</b></td><td>' ."$babaadi".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>cinsiyeti</font></b></td>
<td width=8><b>:</b></td><td>' ."$baybayan".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>email</font></b></td>
<td width=8><b>:</b></td><td>' ."$email".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>ceptel</font></b></td>
<td width=8><b>:</b></td><td>' ."$ceptel".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>istel</font></b></td>
<td width=8><b>:</b></td><td>' ."$istel".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>evtel</font></b></td>
<td width=8><b>:</b></td><td>' ."$evtel".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>askerlik durumu</font></b></td>
<td width=8><b>:</b></td><td>' ."$askerlik".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>okul</font></b></td>
<td width=8><b>:</b></td><td>' ."$okul".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>medeni durum</font></b></td>
<td width=8><b>:</b></td><td>' ."$medenidurum".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>aile fertleri</font></b></td>
<td width=8><b>:</b></td><td>' ."$aile".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>adresi</font></b></td>
<td width=8><b>:</b></td><td>' ."$adresi".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>oturma zamanı</font></b></td>
<td width=8><b>:</b></td><td>' ."$oyil".' yıl ' ."$aay".' ay</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>evi kimin</font></b></td>
<td width=8><b>:</b></td><td>' ."$evbilgileri".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>meselek</font></b></td>
<td width=8><b>:</b></td><td>'."$meslek".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>görevi</font></b></td>
<td width=8><b>:</b></td><td>'."$gorevi".'</td>
</tr>
<tr>
<td width=102><b><font face=Verdana size=2>sosyal sigortası</font></b></td>
<td width=8><b>:</b></td><td>'."$sosyal".'</td>
</tr>
</table></body></html>';
// To send HTML mail, the Content-type header must be set
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-9' . "\r\n";
// Additional headers
$headers .= 'From: ' ."$ad".' <' ."$email".'>' . "\r\n";
$headers .= 'Cc: ' ."$email".'' . "\r\n";
$headers .= 'Bcc: ' ."$email".'' . "\r\n";
mail($address,$subject,$texts,$headers);
echo "Mesajınız gönderildi teşekkür ederiz.";
}
else
{
?>
<body>
<form name="form1" method="post" action="form.php">
<p>Tc kimlik NO
<input name="tckimlikno" type="text" id="tckimlikno">
</p>
<p>vtarih
<input name="vtarih" type="text" id="vtarih">
</p>
<p>adi
<input name="adi" type="text" id="adi">
</p>
<p>soyadi
<input name="soyadi" type="text" id="soyadi">
</p>
<p>babaadi
<input name="babaadi" type="text" id="babaadi">
</p>
<p>anneadi
<input name="anneadi" type="text" id="anneadi">
</p>
<p>
<label>
<input type="radio" name="baybayan" value="Bay">
bay</label>
<br>
<label>
<input type="radio" name="baybayan" value="Bayan">
bayan</label>
</p>
<p>email
<input name="email" type="text" id="email">
</p>
<p>cep tel
<input name="ceptel" type="text" id="ceptel">
</p>
<p>istel
<input name="istel" type="text" id="istel">
</p>
<p>ev tel
<input name="evtel" type="text" id="evtel">
</p>
<p>askerlik durumu
<label>
<input type="radio" name="askerlik" value="tamamladı">
tamamladı</label>
</p>
<p>okul durumu<br>
<label>
<input type="radio" name="askerlik" value="tamamlamadı">
tamamlamadı</label>
<br>
<label>
<input type="radio" name="okul" value="ilkokul">
ilkokul</label>
<br>
<label>
<input type="radio" name="okul" value="ortaokul">
ortaokul</label>
<br>
<label>
<input type="radio" name="okul" value="ünicersite">
üniversite</label>
<br>
<label>
<input type="radio" name="okul" value="master">
master</label>
</p>
<p>medeni durumu</p>
<p>
<label>
<input type="radio" name="medenidurum" value="evli">
evli</label>
<br>
<label>
<input type="radio" name="medenidurum" value="bekar">
bekar</label>
<br>
<label>
<input type="radio" name="medenidurum" value="boşanmış">
boşanmış</label>
<br>
<label>
<input type="radio" name="medenidurum" value="dul">
dul</label>
<br>
aile bireylerinin isimleri ve doðum tarihleri</p>
<p>
<textarea name="aile" id="aile">1-
2-
3-
4-
5-</textarea>
</p>
<p>ev adresi
<textarea name="evadresi" id="evadresi"></textarea>
</p>
<p>ev bilgileri
<label>
<input type="radio" name="evbilgileri" value="kendi evi">
kendi evi</label>
<br>
<label>
<input type="radio" name="evbilgileri" value="aile evi">
aile evi</label>
<br>
<label>
<input type="radio" name="evbilgileri" value="lojman">
lojman</label>
<br>
<label>
<input type="radio" name="evbilgileri" value="kira">
kira</label>
</p>
<p>oturma süresi
yýl
<input name="oyil" type="text" id="oyil">
ay
<input name="aay" type="text" id="aay">
</p>
<p>meslek
<input name="meslek" type="text" id="meslek">
</p>
<p>görevi
<input name="gorevi" type="text" id="gorevi">
</p>
<p>adresi
<input name="adresi" type="text" id="adresi">
</p>
<p>sosyal güvenlik sigortası</p>
<p>
<label>
<input type="radio" name="sosyal" value="özel">
özel</label>
<br>
<label>
<input type="radio" name="sosyal" value="devlet">
devlet</label>
<br>
<input type="submit" name="Submit" value="Gönder">
<input type="reset" name="Submit2" value="Temizle">
<br>
<br>
</p>
<p><br>
</p>
<p> </p>
</form>
<? } ?>
</body>
</html>