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form5.htm
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form5.htm
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<!DOCTYPE html>
<html>
<head>
<title>Selcuk Cetiner</title>
<meta charset="utf-8">
</head>
<body>
<form>
<fieldset>
<legend>
iletişim Formu
</legend>
<table border="1">
<tr>
<td>Adınız Soyadınız : </td>
<td><input type="text" name="adsoyad"> </td>
</tr>
<tr>
<td>E-Posta Adresiniz : </td>
<td><input type="text" name="mail"> </td>
</tr>
<tr>
<td>Telefonunuz : </td>
<td><input type="text" name="mail" placeholder="(___)(_______)"> </td>
</tr>
<tr>
<td>TC Kimlik Numaranız : </td>
<td><input type="text" name="tckimlik" placeholder="11 hane olmalıdır."> </td>
</tr>
<tr>
<td>Bildiğiniz Yabancı Diller</td>
<td>
<label for="ing">İngilizce</label><input type="checkbox" id="ing" value="ing"><br>
<label for="alm">Almanca</label><input type="checkbox" id="alm" value="alm"><br>
<label for="fra">Fransızca</label><input type="checkbox" id="fra" value="fra">
</td>
</tr>
<tr>
<td>Mesajınız : </td>
<td><textarea cols="22" rows="7" name="mesaj"></textarea> </td>
</tr>
</table>
</fieldset>
</form>
</body>
</html>