From: <Saved by Windows Internet Explorer 7>
Subject: =?iso-8859-1?Q?=D6ZELGE_TALEP_FORMU?=
Date: Tue, 31 Aug 2010 13:49:04 +0300
MIME-Version: 1.0
Content-Type: text/html;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://www.gib.gov.tr/dilekce/ozelge_talep_formu.html
X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5931

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" =
"http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd">
<HTML><HEAD><TITLE>=D6ZELGE TALEP FORMU</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<SCRIPT language=3DJavascript type=3Dtext/javascript>

function check(j) {
    document.getElementById("cetvel" + j).checked =3D true;
    for (var i=3D0; i<4; i++) {
        if(i !=3D j){
            if(document.getElementById("cetvel"+i)){
                document.getElementById("cetvel"+i).checked =3D false;
            }
        }
    }
}



function checkUyruk(j) {
    document.getElementById("uyruk" + j).checked =3D true;
    for (var i=3D0; i<2; i++) {
        if(i !=3D j){
            if(document.getElementById("uyruk"+i)){
                document.getElementById("uyruk"+i).checked =3D false;
            }
        }
    }
}

function checkMukTur(j) {
    document.getElementById("mukTur" + j).checked =3D true;
    for (var i=3D0; i<5; i++) {
        if(i !=3D j){
            if(document.getElementById("mukTur"+i)){
                document.getElementById("mukTur"+i).checked =3D false;
            }
        }
    }
}
function checkOzelgeKonu(j) {
    document.getElementById("ozelgeKonu" + j).checked =3D true;
    for (var i=3D0; i<4; i++) {
        if(i !=3D j){
            if(document.getElementById("ozelgeKonu"+i)){
                document.getElementById("ozelgeKonu"+i).checked =3D =
false;
            }
        }
    }
}
function checkMail(j) {
    document.getElementById("sendMail" + j).checked =3D true;
    for (var i=3D0; i<2; i++) {
        if(i !=3D j){
            if(document.getElementById("sendMail"+i)){
                document.getElementById("sendMail"+i).checked =3D false;
            }
        }
    }
}




function checkInput(e)
{

    var flag =3D 0;
	// 1. bolum
	var city =3D document.getElementById("city");
	var ad =3D document.getElementById("ad");
	var vkno =3D document.getElementById("vkno");
	var adres =3D document.getElementById("adres");
	var tel =3D document.getElementById("tel");
	var cep =3D document.getElementById("cep");
	var mail =3D document.getElementById("mail");
	var cetvel0 =3D document.getElementById("cetvel0");
	var cetvel1 =3D document.getElementById("cetvel1");
	var cetvel2 =3D document.getElementById("cetvel2");
	var cetvel3 =3D document.getElementById("cetvel3");
    var uyruk0 =3D document.getElementById("uyruk0");
	var uyruk1 =3D document.getElementById("uyruk1");
	var mukTur0 =3D document.getElementById("mukTur0");
	var mukTur1 =3D document.getElementById("mukTur1");
	var mukTur2 =3D document.getElementById("mukTur2");
	var mukTur3 =3D document.getElementById("mukTur3");
	var mukTur4 =3D document.getElementById("mukTur4");
	// 2. bolum
	var vergiTur0 =3D document.getElementById("vergiTur0");
	var vergiTur1 =3D document.getElementById("vergiTur1");
	var vergiTur2 =3D document.getElementById("vergiTur2");
    var vergiTur3 =3D document.getElementById("vergiTur3");
	var vergiTur4 =3D document.getElementById("vergiTur4");
	var vergiTur5 =3D document.getElementById("vergiTur5");
	var vergiTur6 =3D document.getElementById("vergiTur6");
	var vergiTur7 =3D document.getElementById("vergiTur7");
	var ozet =3D document.getElementById("ozet");
	var degerlendirme =3D document.getElementById("degerlendirme");
	var sendMail0 =3D document.getElementById("sendMail0");
	var sendMail1 =3D document.getElementById("sendMail1");
	var ePosta =3D document.getElementById("ePosta");
	var ozelgeKonu0 =3D document.getElementById("ozelgeKonu0");
	var ozelgeKonu1 =3D document.getElementById("ozelgeKonu1");
	var ozelgeKonu2 =3D document.getElementById("ozelgeKonu2");
	var ozelgeKonu3 =3D document.getElementById("ozelgeKonu3");
=09
=09
=09
=09
	// 3. bolum
	var ek0 =3D document.getElementById("ek0");
	var ek1 =3D document.getElementById("ek1");
	var ek2 =3D document.getElementById("ek2");
    var ek3 =3D document.getElementById("ek3");
	var ek4 =3D document.getElementById("ek4");
	var ek5 =3D document.getElementById("ek5");
	var ymm_ad1 =3D document.getElementById("ymm_ad1");
    var ymm_vkno1 =3D document.getElementById("ymm_vkno1");
	var ymm_ad2 =3D document.getElementById("ymm_ad2");
	var ymm_vkno2 =3D document.getElementById("ymm_vkno2");
	var adSoyad =3D document.getElementById("adSoyad");
    var imza =3D document.getElementById("imza");
	var tarih =3D document.getElementById("tarih");
=09
	//if (city.value =3D=3D "" && flag =3D=3D 0) {
	//alert("L=FCtfen Vergi Dairesi Adini Se=E7iniz!");
	//flag =3D 1;
    //city.focus();
	//}
		if (ad.value =3D=3D "" && flag =3D=3D 0)
	{
		alert("L=FCtfen Adinizi Giriniz!");
		flag =3D 1;
	    ad.focus();	=09
	}
	if (vkno.value =3D=3D "" && flag =3D=3D 0)
	{
		alert("L=FCtfen Vergi / T.C. Kimlik Numaranizi Giriniz");
		flag =3D 1;
	    vkno.focus();	=09
	}

	if (adres.value =3D=3D "" && flag =3D=3D 0)
	{
		alert("L=FCtfen Adresinizi Giriniz!");
		flag =3D 1;
	    adres.focus();	=09
	}

	if (tel.value =3D=3D "" && flag =3D=3D 0)
	{
		alert("L=FCtfen Telefon Numaranizi Giriniz!");
		flag =3D 1;
	    tel.focus();	=09
	}
	//if (cep.value =3D=3D "" && flag =3D=3D 0)
	//{
	//	alert("L=FCtfen Cep Telefon Numaranizi Giriniz!");
	//	flag =3D 1;
	//    cep.focus();	=09
	//}
	//if (mail.value =3D=3D "" && flag =3D=3D 0)
	//{
	//	alert("L=FCtfen Mail Adresinizi Giriniz!");
	//	flag =3D 1;
	//    mail.focus();	=09
	//}

	//if ( (!cetvel0.checked) && (!cetvel1.checked) && (!cetvel2.checked) =
&& (!cetvel3.checked) && (flag =3D=3D 0)    )
	//{
	//	alert("L=FCtfen Cetvel Durumunuzu Seciniz");
	//	flag =3D 1;
	//	cetvel0.focus();
	//}
=09
	if ( (!uyruk0.checked) && (!uyruk1.checked) && (flag =3D=3D 0)    )
	{
		alert("L=FCtfen Uyrugunuzu Se=E7iniz");
		flag =3D 1;
		uyruk0.focus();
	}
	if ( (!mukTur0.checked) && (!mukTur1.checked) && (!mukTur2.checked) && =
(!mukTur3.checked) && (!mukTur4.checked) && (flag =3D=3D 0)    )
	{
		alert("L=FCtfen M=FCkellef T=FCr=FCn=FCz=FC Seciniz");
		flag =3D 1;
		mukTur0.focus();
	}
	if ( (!vergiTur0.checked) && (!vergiTur1.checked) && =
(!vergiTur2.checked) && (!vergiTur3.checked) && (!vergiTur4.checked) && =
(!vergiTur5.checked) && (!vergiTur6.checked) && (!vergiTur7.checked) && =
(flag =3D=3D 0)    )
	{
		alert("L=FCtfen Vergi T=FCr=FCn=FC Seciniz");
		flag =3D 1;
		vergiTur0.focus();
	}
=09
	if ( (ozet.value =3D=3D "") && (flag =3D=3D 0)  )
	{
		alert("L=FCtfen Konu =D6zetini Giriniz");
		flag =3D 1;
		ozet.focus();
	}
=09
	//if ( (degerlendirme.value =3D=3D "") && (flag =3D=3D 0)  )
	//{
	//	alert("L=FCtfen Konu Hakkindaki Hukuki Degerlendirmenizi Giriniz.");
	//	flag =3D 1;
	//	degerlendirme.focus();
	//}
	if ( (!ozelgeKonu0.checked) && (!ozelgeKonu1.checked) && =
(!ozelgeKonu2.checked) && (!ozelgeKonu3.checked) && (flag =3D=3D 0)    )
	{
		alert("L=FCtfen =D6zelgenin Islem Konusunu Giriniz");
		flag =3D 1;
		ozelgeKonu0.focus();
	}
	if ( (!sendMail0.checked) && (!sendMail1.checked)  && (flag =3D=3D 0)   =
 )
	{
		alert("L=FCtfen e-Mail G=F6nderim Istegi Secenegini Giriniz.");
		flag =3D 1;
		sendMail0.focus();
	}
	if(sendMail0.checked && ePosta.value=3D=3D"" && flag=3D=3D0){
		alert("L=FCtfen e-posta Bilgisi Giriniz");
		flag =3D 1;
		ePosta.focus();
	}
	if (ozet.value.length >3000  && flag =3D=3D 0 ){
		alert("Konu =D6zeti 3000 Karakterden Fazla Olamaz.");
		flag =3D 1;
		ozet.focus();=20
	}
	if (degerlendirme.value.length >6000  && flag =3D=3D 0 ){
		alert("Konu Hakkindaki Hukuki Degerlendirmeniz 6000 Karakterden Fazla =
Olamaz.");
		flag =3D 1;
		degerlendirme.focus();=20
	}
	if(adSoyad.value =3D=3D "" && flag =3D=3D 0){
		alert("L=FCtfen Ad-Soyad Bilgisini Giriniz");
		flag =3D 1;
		adSoyad.focus();
	}
	if(tarih.value =3D=3D "" && flag =3D=3D 0){
		alert("L=FCtfen Tarih Bilgisini Giriniz");
		flag =3D 1;
		tarih.focus();
	}
  if(flag =3D=3D 0)
  {
	e.form.submit();=09
  }


}


=09

	var regiondb =3D new Object()

regiondb["01"] =3D [	  {value:"001251", text:"5 OCAK"},

					  {value:"001201", text:"CEYHAN"},

					  {value:"001255", text:"=C7UKUROVA"},

                      {value:"001205", text:"KARATAS"},

                      {value:"001203", text:"KOZAN"},

					  {value:"001253", text:"SEYHAN"},

					  {value:"001252", text:"Y=DCREGIR"},

                      {value:"001254", text:"ZIYAPASA"}

                     =20

					  ];

					 =20

regiondb["02"] =3D [    {value:"002260", text:"ADIYAMAN"},

                      {value:"002261", text:"KAHTA"}];

					 =20

regiondb["03"] =3D [	  {value:"003261", text:"BOLVADIN"},

					  {value:"003202", text:"=C7AY"},

					  {value:"003260", text:"DINAR"},

                      {value:"003262", text:"EMIRDAG"},

					  {value:"003280", text:"KOCATEPE"},

                      {value:"003263", text:"SANDIKLI"},

					  {value:"003201", text:"TINAZTEPE"}

					  ];                     =20











regiondb["04"] =3D [{value:"004260" , text:"AGRI"},=20

				  {value:"004261" , text:"DOGUBEYAZIT"} ];

				 =20

regiondb["05"] =3D[

				{value:"005260" , text:"AMASYA"},=20

				{value:"005102", text:"G=DCM=DCSHACIK=D6Y"},

				{value:"005262" , text:"G.HACIK=D6Y"},

				{value:"005261" , text:"MERZIFON"},=20

				{value:"005264" , text:"SULUOVA"}, =20

				{value:"005263" , text:"TASOVA"}

				];

			=09

regiondb["06"] =3D [

				{value:"006276" , text:"BASKENT"} ,

				{value:"006209" , text:"BEYPAZARI"},=20

				{value:"006277" , text:"CUMHURIYET"},=20

				{value:"006257" , text:"=C7ANKAYA"} ,

				{value:"006211" , text:"=C7UBUK"} ,

				{value:"006274" , text:"DISKAPI"},=20

				{value:"006265" , text:"DOGANBEY"},=20

				{value:"006264" , text:"DIKIMEVI"} ,

				{value:"006215" , text:"ELMADAG"} ,

				{value:"006275" , text:"ETIMESGUT"},=20

				{value:"006272" , text:"G=D6LBASI"} ,

				{value:"006213" , text:"HAYMANA"} ,

				{value:"006268" , text:"HITIT"} ,

				{value:"006253" , text:"KAVAKLIDERE"} ,

				{value:"006278" , text:"KE=C7I=D6REN"} ,

				{value:"006258" , text:"KIZILBEY"} ,

				{value:"006270" , text:"M.KARAG=DCZEL"},=20

				{value:"006254" , text:"MALTEPE"} ,

				{value:"006259" , text:"MITHATPASA"},=20

				{value:"006271" , text:"OSTIM"} ,

				{value:"006205" , text:"POLATLI"},=20

				{value:"006262" , text:"SEGMENLER"},=20

				{value:"006273" , text:"SINCAN"} ,

				{value:"006207" , text:"SEREFLIKO=C7HISAR"}  ,

				{value:"006260" , text:"ULUS"} ,

				{value:"006263" , text:"ULUSITE"} ,

				{value:"006252" , text:"VERASET VE HAR=C7"} ,

				{value:"006269" , text:"Y.GALIP"} ,

				{value:"006255" , text:"YENIMAHALLE"},=20

				{value:"006266" , text:"YEGENBEY"},=20

				{value:"006261" , text:"YILDIRIMBEYAZIT"}=20

			=09

				=09

				];



regiondb["07"] =3D [

					{value:"007201" , text:"ALANYA"} ,

					{value:"007255" , text:"ANTALYA KURUMLAR"},=20

					{value:"007254" , text:"D=DCDEN"} ,

					{value:"007204" , text:"ELMALI"} ,

					{value:"007252" , text:"KALEKAPI"} ,

					{value:"007205" , text:"KEMER"} ,

					{value:"007206" , text:"KUMLUCA"} ,

					{value:"007203" , text:"MANAVGAT"} ,

					{value:"007253" , text:"MURATPASA"} ,

					{value:"007202" , text:"SERIK"} ,

					{value:"007251" , text:"=DC=C7KAPILAR"}  ];

					 =20

regiondb["08"] =3D [{value:"008260" , text:"ARTVIN"},=20

				{value:"008261" , text:"HOPA"}];

					 =20

regiondb["09"] =3D [

				{value:"009281" , text:"DIDIM"} ,

				{value:"009201" , text:"EFELER"} ,

				{value:"009263" , text:"GERMENCIK"} ,

				{value:"009280" , text:"G=DCZELHISAR"} ,

				{value:"009265" , text:"KUSADASI"} ,

				{value:"009260" , text:"NAZILLI"} ,

				{value:"009261" , text:"S=D6KE"} ,

				{value:"009262" , text:"=C7INE"}=20

				];

					 =20

regiondb["10"] =3D [

					{value:"010260" , text:"AYVALIK"} ,

					{value:"010261" , text:"BANDIRMA"},=20

					{value:"010262" , text:"BURHANIYE"} ,

					{value:"010267" , text:"BIGADI=C7"} ,

					{value:"010269" , text:"DURSUNBEY"} ,

					{value:"010263" , text:"EDREMIT"} ,

					{value:"010266" , text:"ERDEK"} ,

					{value:"010264" , text:"G=D6NEN"} ,

					{value:"010201" , text:"KARESI"} ,

					{value:"010280" , text:"KURTDERELI"} ,

					{value:"010268" , text:"SINDIRGI"} ,

					{value:"010265" , text:"SUSURLUK"}



				  ];

									 =20

regiondb["11"] =3D [{value:"011260" , text:"BILECIK"},=20

				{value:"011261" , text:"BOZ=DCY=DCK"}];

					 =20

regiondb["12"] =3D [{value:"012260" , text:"BING=D6L"}];

					 =20

regiondb["13"] =3D [{value:"013260" , text:"BITLIS"},=20

				{value:"013261" , text:"TATVAN"}];

					 =20

regiondb["14"] =3D [{value:"014260" , text:"BOLU"},=20

				{value:" 14262" , text:"GEREDE"}];

					 =20

regiondb["15"] =3D [{value:"015261" , text:"BUCAK"},

				  {value:"015260" , text:"BURDUR"}

				];

					 =20

regiondb["16"] =3D [

					{value:"016258" , text:"ERTUGRULGAZI"} ,

					{value:"016201" , text:"GEMLIK"} ,

					{value:"016259" , text:"G=D6KDERE"} ,

					{value:"016203" , text:"KARACABEY"},=20

					{value:"016205" , text:"MUDANYA"} ,

					{value:"016204" , text:"MUSTAFAKEMALPASA"} ,

					{value:"016257" , text:"NIL=DCFER"} ,

					{value:"016206" , text:"ORHANGAZI"},=20

					{value:"016251" , text:"OSMANGAZI"} ,

					{value:"016254" , text:"SETBASI"} ,

					{value:"016255" , text:"ULUDAG"} ,

					{value:"016208" , text:"YENISEHIR"},=20

					{value:"016256" , text:"YESIL"} ,

					{value:"016252" , text:"YILDIRIM"} ,

					{value:"016253" , text:"=C7EKIRGE"} ,

					{value:"016202" , text:"INEG=D6L"} ,

					{value:"016207" , text:"IZNIK"}=20

					];

					 =20

regiondb["17"] =3D [

				{value:"017261" , text:"BIGA"},=20

				{value:"017260" , text:"=C7ANAKKALE"},=20

				{value:"017262" , text:"=C7AN"},=20

				{value:"017263" , text:"GELIBOLU"}];

					 =20

regiondb["18"] =3D [{value:"018260" , text:"=C7ANKIRI"}];

					 =20

regiondb["19"] =3D [{value:"019260" , text:"=C7ORUM"},=20

				{value:"019261" , text:"SUNGURLU"}];

					 =20

					 =20

regiondb["20"] =3D [

					{value:"020261" , text:"ACIPAYAM"} ,

					{value:"020263" , text:"BULDAN"} ,

					{value:"020203" , text:"G=D6KPINAR"},=20

					{value:"020280" , text:"PAMUKKALE"},=20

					{value:"020260" , text:"SARAYK=D6Y"} ,

					{value:"020201" , text:"SARAYLAR"} ,

					{value:"020262" , text:"TAVAS"} ,

					{value:"020264" , text:"=C7AL"} ,

					{value:"020202" , text:"=C7INAR"},=20

					{value:"020265" , text:"=C7IVRIL"}=20

				];

					 =20

regiondb["21"] =3D [

					{value:"021282" , text:"C.SITKI TARANCI"},

					{value:"021251" , text:"G=D6KALP"},=20

					{value:"021281" , text:"S=DCLEYMANNAZIF"}

				];

					 =20

regiondb["22"] =3D [

					{value:"022201" , text:"ARDA"},=20

					{value:"022263" , text:"HAVSA"},=20

					{value:"022264" , text:"IPSALA"},

					{value:"022261" , text:"KESAN"},=20

					{value:"022260" , text:"KIRKPINAR"},=20

					{value:"022262" , text:"UZUNK=D6PR=DC"}

					];

					 =20

regiondb["23"] =3D [{value:"023201" , text:"HARPUT"},=20

				{value:"023280" , text:"HAZAR"}];



regiondb["24"] =3D [{value:"024260" , text:"FEVZIPASA"}];

					 =20

regiondb["25"] =3D [{value:"025251" , text:"AZIZIYE"},=20

				{value:"025280" , text:"KAZIMKARABEKIR"}];

					 =20

regiondb["26"] =3D [

				{value:"026253" , text:"2 EYL=DCL"},

				{value:"026254" , text:"BATTALGAZI"},

				{value:"026201" , text:"=C7IFTELER"},=20

				{value:"026202" , text:"SIVRIHISAR"},=20

				{value:"026255" , text:"TASBASI"},

				{value:"026252" , text:"YUNUSEMRE"}

				];

					 =20

regiondb["27"] =3D [

				{value:"027254" , text:"GAZIKENT"},

				{value:"027203" , text:"ISLAHIYE"},

				{value:"027255" , text:"KOZANLI"},

				{value:"027202" , text:"NIZIP"},=20

				{value:"027251" , text:"SUBURCU"},=20

				{value:"027253" , text:"SAHINBEY"},=20

				{value:"027252" , text:"SEHITKAMIL"}

				];

					 =20

regiondb["28"] =3D [

					{value:"028261" , text:"BULANCAK"},

					{value:"028260" , text:"GIRESUN"}

				];

					 =20

regiondb["29"] =3D [{value:"029260" , text:"G=DCM=DCSHANE"}];

					 =20

regiondb["30"] =3D [{value:"030260" , text:"HAKKARI"}];

					 =20

regiondb["31"] =3D [

					{value:"031201" , text:"23 TEMMUZ"} ,

					{value:"031281" , text:"AKDENIZ"} ,

					{value:"031203" , text:"ANTAKYA"} ,

					{value:"031290" , text:"ASIM G=DCND=DCZ"} ,

					{value:"031260" , text:"D=D6RTYOL"} ,

					{value:"031261" , text:"KIRIKHAN"} ,

					{value:"031262" , text:"REYHANLI"} ,

					{value:"031202" , text:"SAHIL"} ,

					{value:"031263" , text:"SAMANDAG"},=20

					{value:"031280" , text:"S=DCKR=DCKANATLI"} ,

				];

					 =20

regiondb["32"] =3D [

					{value:"032201" , text:"DAVRAZ"},=20

					{value:"032261" , text:"EGIRDIR"},

					{value:"032260" , text:"KAYMAKKAPI"},=20

					{value:"032262" , text:"YALVA=C7"}

				];

					 =20

regiondb["33"] =3D [

					{value:"033203" , text:"ANAMUR"} ,

					{value:"033201" , text:"ERDEMLI"} ,

					{value:"033204" , text:"KIZILMURAT"} ,

					{value:"033254" , text:"LIMAN"} ,

					{value:"033202" , text:"SILIFKE"},=20

					{value:"033255" , text:"TOROS"} ,

					{value:"033252" , text:"URAY"} ,

					{value:"033250" , text:"ISTIKLAL"} ,

					{value:"033205" , text:"SEHITKERIM"}

				];

					 =20

regiondb["34"] =3D [

					{value:"034295" , text:"ADALAR"} ,

					{value:"034244" , text:"ANADOLU KURUMLAR"} ,

					{value:"034291" , text:"ATISALANI"} ,

					{value:"034294" , text:"AVCILAR"} ,

					{value:"034284" , text:"BAKIRK=D6Y"} ,

					{value:"034264" , text:"BAYRAMPASA"},=20

					{value:"034265" , text:"BEYAZIT"} ,

					{value:"034281" , text:"BEYKOZ"} ,

					{value:"034297" , text:"BEYLIKD=DCZ=DC"} ,

					{value:"034266" , text:"BEYOGLU"} ,

					{value:"034251" , text:"BESIKTAS"} ,

					{value:"034231" , text:"BOGAZI=C7I KUR."} ,


					{value:"034204" , text:"B=DCY=DCK=C7EKMECE"} ,
					{value:"034230" , text:"B=DCY=DCK M=DCKELLEFLER"} ,

					{value:"034250" , text:"=C7APA"} ,

					{value:"034206" , text:"=C7ATALCA"} ,

					{value:"034234" , text:"DAVUTPASA"} ,

					{value:"034289" , text:"DIS TIC."} ,

					{value:"034255" , text:"ERENK=D6Y"} ,

					{value:"034235" , text:"ESENLER"} ,

					{value:"034236" , text:"FATIH"} ,

					{value:"034268" , text:"GALATA"} ,

					{value:"034254" , text:"GAYRETTEPE"} ,

					{value:"034269" , text:"GAZIOSMANPASA"} ,

					{value:"034270" , text:"G=D6ZTEPE"} ,

					{value:"034261" , text:"G=DCNESLI"} ,

					{value:"034259" , text:"G=DCNG=D6REN"} ,

					{value:"034278" , text:"HALKALI"} ,

					{value:"034271" , text:"HOCAPASA"} ,

					{value:"034256" , text:"HISAR"} ,

					{value:"034249" , text:"IKITELLI"} ,

					{value:"034272" , text:"KADIK=D6Y"},=20

					{value:"034285" , text:"KARTAL"} ,

					{value:"034279" , text:"KAGITHANE"} ,

					{value:"034273" , text:"KOCAMUSTAFAPASA"} ,

					{value:"034260" , text:"KOCASINAN"} ,

					{value:"034246" , text:"KOZYATAGI"} ,

					{value:"034237" , text:"K=DC=C7=DCKK=D6Y"} ,

					{value:"034262" , text:"K=DC=C7=DCKYALI"} ,

					{value:"034296" , text:"K=DC=C7=DCK=C7EKMECE"} ,

					{value:"034238" , text:"LALELI"} ,

					{value:"034232" , text:"MARMARA KUR."} ,

					{value:"034247" , text:"MASLAK"} ,

					{value:"034274" , text:"MECIDIYEK=D6Y"} ,

					{value:"034275" , text:"MERCAN"} ,

					{value:"034239" , text:"MERTER"} ,

					{value:"034240" , text:"MEVLANAKAPI"} ,

					{value:"034287" , text:"NAKIL VASITA."},=20

					{value:"034267" , text:"NURUOSMANIYE"} ,

					{value:"034263" , text:"PENDIK"} ,

					{value:"034241" , text:"RAMI"} ,

					{value:"034258" , text:"RIHTIM"},=20

					{value:"034288" , text:"SARIGAZI"} ,

					{value:"034283" , text:"SARIYER"} ,

					{value:"034286" , text:"SULTANAHMET"} ,

					{value:"034242" , text:"SULTANBEYLI"} ,

					{value:"034243" , text:"S=DCLEYMANIYE"} ,

					{value:"034203" , text:"SILIVRI"} ,

					{value:"034205" , text:"SILE"} ,

					{value:"034276" , text:"SISLI"} ,

					{value:"034257" , text:"TUNA"} ,

					{value:"034245" , text:"TUZLA"} ,

					{value:"034233" , text:"ULASTIRMA"} ,

					{value:"034252" , text:"=DCMRANIYE"} ,

					{value:"034277" , text:"=DCSK=DCDAR"} ,

					{value:"034292" , text:"YAKACIK"} ,

					{value:"034253" , text:"YEDITEPE"} ,

					{value:"034293" , text:"YENI BOSNA"},=20

					{value:"034280" , text:"ZEYTINBURNU"},=20

					{value:"034248" , text:"ZINCIRLIKUYU"}

				=09

];

					 =20

regiondb["35"] =3D [

				{value:"035251" , text:"9 EYL=DCL"} ,

				{value:"035213" , text:"ALIAGA"} ,

				{value:"035266" , text:"BAL=C7OVA"} ,

				{value:"035255" , text:"BASMANE"} ,

				{value:"035201" , text:"BAYINDIR"} ,

				{value:"035254" , text:"BELKAHVE"} ,

				{value:"035202" , text:"BERGAMA"} ,

				{value:"035264" , text:"BORNOVA"} ,

				{value:"035265" , text:"=C7AKABEY"} ,

				{value:"035212" , text:"=C7ESME"} ,

				{value:"035269" , text:"=C7IGLI"},

				{value:"035268" , text:"EGE"} ,

				{value:"035267" , text:"GAZIEMIR"} ,

				{value:"035263" , text:"HASAN TAHSIN"},=20

				{value:"035261" , text:"KADIFEKALE"} ,

				{value:"035256" , text:"KARSIYAKA"} ,

				{value:"035207" , text:"KEMALPASA"} ,

				{value:"035257" , text:"KEMERALTI"} ,

				{value:"035210" , text:"KINIK"} ,

				{value:"035258" , text:"KONAK"} ,

				{value:"035259" , text:"KORDON"} ,

				{value:"035211" , text:"KIRAZ"} ,

				{value:"035215" , text:"MENDERES"},=20

				{value:"035203" , text:"MENEMEN"} ,

				{value:"035204" , text:"=D6DEMIS"},

				{value:"035209" , text:"SEL=C7UK"} ,

				{value:"035260" , text:"SIRINYER"},

				{value:"035262" , text:"TASITLAR"} ,

				{value:"035206" , text:"TORBALI"} ,

				{value:"035205" , text:"TIRE"} ,

				{value:"035208" , text:"URLA"} ,

				{value:"035252" , text:"YAMANLAR"}=20

			=09

			];

					 =20

regiondb["36"] =3D [{value:"036260" , text:"KARS"}];

					 =20

regiondb["37"] =3D [{value:"037260" , text:"KASTAMONU"},=20

				{value:"037262" , text:"TASK=D6PR=DC"},

				{value:"037261" , text:"TOSYA"}

				];

					 =20

regiondb["38"] =3D [

				{value:"038203" , text:"B=DCNYAN"},

				{value:"038201" , text:"DEVELI"},=20

				{value:"038252" , text:"ERCIYES"},

				{value:"038254" , text:"GEVHER NESIBE"},

				{value:"038253" , text:"KALE=D6N=DC"},

				{value:"038251" , text:"MIMARSINAN"},

				{value:"038202" , text:"PINARBASI"}

				];

					 =20

regiondb["39"] =3D [

				{value:"039262" , text:"BABAESKI"},

				{value:"039260" , text:"KIRKLARELI"},=20

				{value:"039261" , text:"L=DCLEBURGAZ"}=20

				];

					 =20

regiondb["40"] =3D [

				{value:"040261" , text:"KAMAN"},

				{value:"040260" , text:"KIRSEHIR"}

				];

					 =20

regiondb["41"] =3D [

				{value:"041290" , text:"ACISU"} ,

				{value:"041253" , text:"ALEMDAR"},=20

				{value:"041207" , text:"DERINCE"} ,

				{value:"041204" , text:"G=D6LC=DCK"} ,

				{value:"041205" , text:"KARAM=DCRSEL"} ,

				{value:"041206" , text:"K=D6RFEZ"} ,

				{value:"041252" , text:"TEPECIK"} ,

				{value:"041202" , text:"ULU=C7INAR"} ,

				{value:"041203" , text:"ILYASBEY"}

				];

					 =20

regiondb["42"] =3D [

				{value:"042201" , text:"AKSEHIR"} ,

				{value:"042254" , text:"ALAADDIN"} ,

				{value:"042204" , text:"BEYSEHIR"} ,

				{value:"042205" , text:"CIHANBEYLI"},=20

				{value:"042206" , text:"=C7UMRA"},

				{value:"042202" , text:"EREGLI"} ,

				{value:"042208" , text:"ILGIN"} ,

				{value:"042209" , text:"KULU"} ,

				{value:"042253" , text:"MERAM"} ,

				{value:"042252" , text:"MEVLANA"},=20

				{value:"042251" , text:"SEL=C7UK"} ,

				{value:"042207" , text:"SEYDISEHIR"}=20

			=09

				];

					 =20

regiondb["43"] =3D [

				{value:"043201" , text:"30 AGUSTOS"},=20

				{value:"043280" , text:"=C7INILI"},

				{value:"043263" , text:"EMET"},

				{value:"043260" , text:"GEDIZ"},=20

				{value:"043261" , text:"SIMAV"},=20

				{value:"043262" , text:"TAVSANLI"}

				=20

				];

					 =20

regiondb["44"] =3D [=20

				{value:"044252" , text:"BEYDAGI"},

				{value:"044251" , text:"FIRAT"}

				];

					 =20

regiondb["45"] =3D [

				{value:"045201" , text:"AKHISAR"} ,

				{value:"045251" , text:"ALAYBEY"} ,

				{value:"045202" , text:"ALASEHIR"} ,

				{value:"045203" , text:"DEMIRCI"} ,

				{value:"045210" , text:"G=D6RDES"} ,

				{value:"045204" , text:"KIRKAGA=C7"},=20

				{value:"045211" , text:"KULA"} ,

				{value:"045252" , text:"MESIR"} ,

				{value:"045205" , text:"SALIHLI ADIL ORA"} ,

				{value:"045206" , text:"SARIG=D6L"} ,

				{value:"045207" , text:"SARUHANLI"},=20

				{value:"045208" , text:"SOMA"} ,

				{value:"045209" , text:"TURGUTLU"}=20

				];

					 =20

regiondb["46"] =3D [

				{value:"046280" , text:"AKSU"},

				{value:"046261" , text:"AFSIN"},

				{value:"046201" , text:"ASLANBEY"},=20

				{value:"046260" , text:"ELBISTAN"},

				{value:"046262" , text:"PAZARCIK"}=20

				];

					 =20

regiondb["47"] =3D [

				{value:"047261" , text:"KIZILTEPE"},=09

				{value:"047260" , text:"MARDIN"},=20

				{value:"047262" , text:"NUSAYBIN"}

				];

					 =20

regiondb["48"] =3D [

				{value:"048261" , text:"BODRUM"} ,

				{value:"048262" , text:"FETHIYE"} ,

				{value:"048263" , text:"K=D6YCEGIZ"} ,

				{value:"048265" , text:"MARMARIS"} ,

				{value:"048260" , text:"MUGLA"} ,

				{value:"048264" , text:"MILAS"} ,

				{value:"048266" , text:"YATAGAN"}=20

				];

					 =20

regiondb["49"] =3D [{value:"049260" , text:"MUS"}];

					 =20

regiondb["50"] =3D [{value:"050260" , text:"NEVSEHIR"}];

					 =20

regiondb["51"] =3D [

				{value:"051262" , text:"BOR"},

				{value:"051260" , text:"NIGDE"}=20

			=09

				];

					 =20

regiondb["52"] =3D [

				{value:"052201" , text:"BOZTEPE"},=20

				{value:"052261" , text:"FATSA"},

				{value:"052260" , text:"K=D6PR=DCBASI"},=20

				{value:"052262" , text:"=DCNYE"}];

			=09

regiondb["53"] =3D [=20

				{value:"053263" , text:"ARDESEN"},

				{value:"053261" , text:"=C7AYELI"},=20

				{value:"053201" , text:"KA=C7KAR"},

				{value:"053262" , text:"PAZAR"},=20

				{value:"053260" , text:"YESIL=C7AY"}

				];

					 =20

regiondb["54"] =3D [

				{value:"054201" , text:"AKYAZI"},=20

				{value:"054252" , text:"ALI FUAT CEBESOY"},

				{value:"054202" , text:"GEYVE"},=20

				{value:"054251" , text:"G=DCMR=DCK=D6N=DC"},

				{value:"054203" , text:"HENDEK"},=20

				{value:"054204" , text:"KARASU"}

				=20

				];

					 =20

regiondb["55"] =3D [

				{value:"055251" , text:"19 MAYIS"},=20

				{value:"055202" , text:"BAFRA"},=20

				{value:"055203" , text:"=C7ARSAMBA"},=20

				{value:"055252" , text:"GAZILER"},

				{value:"055205" , text:"HAVZA"},

				{value:"055204" , text:"TERME"},=20

				{value:"055290" , text:"ZAFER"}

				];

					 =20

regiondb["56"] =3D [{value:"056260" , text:"SIIRT"}];

					 =20

regiondb["57"] =3D [

				{value:"057261" , text:"BOYABAT"},=09

				{value:"057260" , text:"SINOP"}=20

				];

					 =20

regiondb["58"] =3D [{value:"058201" , text:"KALE"},=20

				{value:"058280" , text:"SITE"},

				{value:"058260" , text:"SARKISLA"}

				];

					 =20

regiondb["59"] =3D [

				{value:"059263" , text:"HAYRABOLU"} ,

				{value:"059264" , text:"MALKARA"} ,

				{value:"059265" , text:"MURATLI"} ,

				{value:"059260" , text:"NAMIK KEMAL"} ,

				{value:"059201" , text:"S=DCLEYMANPASA"} ,

				{value:"059261" , text:"=C7ERKEZK=D6Y"} ,

				{value:"059262" , text:"=C7ORLU"}=20

				];

					 =20

regiondb["60"] =3D [

				{value:"060261" , text:"ERBAA"},

				{value:"060262" , text:"NIKSAR"},=20

				{value:"060260" , text:"TOKAT"},=20

				{value:"060263" , text:"TURHAL"},=20

				{value:"060264" , text:"ZILE"}];

					 =20

regiondb["61"] =3D [

				{value:"061260" , text:"AK=C7AABAT"},=20

				{value:"061201" , text:"HIZIRBEY"},=20

				{value:"061280" , text:"KARADENIZ"},

				{value:"061261" , text:"OF"},=20

				{value:"061262" , text:"VAKFIKEBIR"}=20

				];

									 =20

regiondb["62"] =3D [{value:"062260" , text:"TUNCELI"}];

					 =20

regiondb["63"] =3D [

				{value:"063262" , text:"BIRECIK"},

				{value:"063201" , text:"SEHITLIK"},=20

				{value:"063260" , text:"SIVEREK"},=20

				{value:"063280" , text:"TOP=C7UMEYDANI"},

				{value:"063261" , text:"VIRANSEHIR"}

				=20

				];

					 =20

regiondb["64"] =3D [=20

				{value:"064261" , text:"BANAZ"},=20

				{value:"064262" , text:"ESME"},

				{value:"064260" , text:"USAK"}

				];

					 =20

regiondb["65"] =3D [{value:"065201" , text:"ERCIS"},=20

				{value:"065260" , text:"VAN"}];

					 =20

regiondb["66"] =3D [

				=20

				{value:"066261" , text:"BOGAZLIYAN"},=20

				{value:"066262" , text:"SORGUN"},=20

				{value:"066263" , text:"YERK=D6Y"},

				{value:"066260" , text:"YOZGAT"}

				];

					 =20

regiondb["67"] =3D [=20

				{value:"067263" , text:"=C7AYCUMA"},=20

				{value:"067264" , text:"DEVREK"},=20

				{value:"067280" , text:"KARAELMAS"},

				{value:"067261" , text:"KARADENIZ EREGLI"},=20

				{value:"067201" , text:"UZUNMEHMET"}

				];

					 =20

regiondb["68"] =3D [{value:"068201" , text:"AKSARAY"}];

					 =20

regiondb["69"] =3D [{value:"069201" , text:"BAYBURT"}];

					 =20

regiondb["70"] =3D [{value:"070201" , text:"KARAMAN"}];

					 =20

regiondb["71"] =3D [{value:"071201" , text:"IRMAK"},=20

				{value:"071202" , text:"KALETEPE"}];

					 =20

regiondb["72"] =3D [{value:"072260" , text:"BATMAN"}];

					 =20

regiondb["73"] =3D [

				{value:"073261" , text:"CIZRE"},=20

				{value:"073262" , text:"SILOPI"},

				{value:"073260" , text:"SIRNAK"}

				];

									 =20

regiondb["74"] =3D [{value:"074260" , text:"BARTIN"}];

					 =20

regiondb["75"] =3D [{value:"075201" , text:"ARDAHAN"}];

					 =20

regiondb["76"] =3D [{value:"076201" , text:"IGDIR"}];

					 =20

regiondb["77"] =3D [{value:"077201" , text:"YALOVA"}];

					 =20

regiondb["78"] =3D [{value:"078201" , text:"KARAB=DCK"},=20

				{value:"078260" , text:"SAFRANBOLU"}];

					 =20

regiondb["79"] =3D [{value:"079201" , text:"KILIS"}];

					 =20

regiondb["80"] =3D [

				{value:"080260" , text:"KADIRLI"},

				{value:"080201" , text:"OSMANIYE"}=20

			];

					 =20

regiondb["81"] =3D [

					{value:"081261" , text:"AK=C7AKOCA"},

					{value:"081260" , text:"D=DCZCE"}

				];

			=09





function setCities1() {

    var newElem;

    var where =3D (navigator.appName =3D=3D "Microsoft Internet =
Explorer") ? -1 : null;

    var cityChooser =3Ddocument.ThisForm.elements["city"];

    while (cityChooser.options.length) {

        cityChooser.remove(0);

    }

    var choice =3D "34";

    var db =3D regiondb[choice];

=09

    newElem =3D document.createElement("option");

    if (choice !=3D "") {

        for (var i =3D 0; i < db.length; i++) {

            newElem =3D document.createElement("option");

            newElem.text =3D db[i].text;

            newElem.value =3D db[i].value;

            cityChooser.add(newElem, where);

        }

    }

}


function setCities(chooser) {

    var newElem;

    var where =3D (navigator.appName =3D=3D "Microsoft Internet =
Explorer") ? -1 : null;

    var cityChooser =3D chooser.form.elements["city"];

    while (cityChooser.options.length) {

        cityChooser.remove(0);

    }

    var choice =3D chooser.options[chooser.selectedIndex].value;

    var db =3D regiondb[choice];

    newElem =3D document.createElement("option");

    newElem.text =3D "VD ADI Se=E7iniz";

    newElem.value =3D "";

    cityChooser.add(newElem, where);

    if (choice !=3D "") {

        for (var i =3D 0; i < db.length; i++) {

            newElem =3D document.createElement("option");

            newElem.text =3D db[i].text;

            newElem.value =3D db[i].value;

            cityChooser.add(newElem, where);

        }
    }
}


function putDateCombo(name) {

	var i;
	var bugun =3D new Date();

	var year =3D bugun.getYear();

	var month =3D (bugun.getMonth())+1;

	var day =3D bugun.getDate();=09

	document.write('<select name=3D"'+name+'D">');=09

	for (i=3D1;i<32;i++) {

		if (i !=3D day)

		document.write('<option =
value=3D'+i+'>'+(i<10?"0"+i:""+i)+'</option>');

		else

		document.write('<option value=3D'+i+' =
selected>'+(i<10?"0"+i:""+i)+'</option>');

 	}

	document.write('</select>');



	document.write('&nbsp;<select name=3D"'+name+'M">');

=09

	for (i=3D1; i< 13;i++) {

		if (i !=3D (month) )

		document.write('<option =
value=3D'+i+'>'+(i<10?"0"+i:""+i)+'</option>');

		else

		document.write('<option value=3D'+i+' =
selected>'+(i<10?"0"+i:""+i)+'</option>');

 	}

	document.write('</select>');

=09

	document.write('&nbsp;<select name=3D"'+name+'Y">');

=09

	for (i=3D2000; i< 2015;i++) {

		if (i !=3D (year) )

		document.write('<option =
value=3D'+i+'>'+(i<10?"0"+i:""+i)+'</option>');

		else

		document.write('<option value=3D'+i+' =
selected>'+(i<10?"0"+i:""+i)+'</option>');

 	}

	document.write('</select>');

=09

=09







}
	=09

</SCRIPT>

<STYLE type=3Dtext/css>.style4 {
	FONT-WEIGHT: bold; COLOR: #ffffff
}
.style2 {
	PADDING-LEFT: 10px; FONT-WEIGHT: bold; FONT-SIZE: 12px; FONT-FAMILY: =
Arial, Helvetica, sans-serif
}
.style1 {
	PADDING-LEFT: 2px; FONT-SIZE: 12px; FONT-FAMILY: Arial, Helvetica, =
sans-serif
}
.style3 {
	PADDING-RIGHT: 5px; PADDING-LEFT: 5px; FONT-SIZE: 12px; FONT-FAMILY: =
Arial, Helvetica, sans-serif; TEXT-ALIGN: justify
}
</STYLE>

<META content=3D"MSHTML 6.00.6000.17080" name=3DGENERATOR></HEAD>
<BODY style=3D"BACKGROUND-COLOR: #d7ebff">
<DIV align=3Dcenter>
<FORM id=3DThisForm name=3DThisForm action=3Dozelge_talep_formu.php =
method=3Dpost>
<TABLE width=3D750 bgColor=3D#ffbd7b border=3D0>
  <TBODY>
  <TR>
    <TD align=3Dmiddle width=3D750>
      <DIV align=3Dcenter>
      <P class=3Dstyle4>=D6ZELGE TALEP =
FORMU</P></DIV></TD></TR></TBODY></TABLE>
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D750 bgColor=3D#fff5ea =
border=3D1>
  <TBODY>
  <TR>
    <TD style=3D"COLOR: red">
      <DIV align=3Dcenter><STRONG>B&#304;R&#304;NC&#304; B=D6L=DCM - =
K&#304;&#350;&#304;SEL=20
    B&#304;LG&#304;LER</STRONG></DIV></TD></TR></TBODY></TABLE>
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D750 bgColor=3D#fff5ea =
border=3D1>
  <TBODY>
  <TR>
    <TD></TD>
    <TD><STRONG>GER=C7EK K&#304;&#350;&#304;LER/T=DCZEL =
K&#304;&#350;&#304;LER</STRONG></TD></TR>
  <TR>
    <TD width=3D270>
      <TABLE width=3D206 align=3Dleft border=3D0>
        <TBODY>
        <TR>
          <TD class=3Dstyle1 width=3D87 height=3D28>
            <DIV align=3Dleft><STRONG>&#304;L =
Se=E7iniz</STRONG><BR></DIV></TD>
          <TD width=3D109>
            <DIV align=3Dleft><SELECT class=3DentryListBox =
id=3Dcontinent=20
            onchange=3DsetCities(this) name=3Dcontinent> <OPTION =
value=3D34=20
              selected>&#304;STANBUL</OPTION> <OPTION =
value=3D35>&#304;ZM&#304;R</OPTION> <OPTION=20
              value=3D06>ANKARA</OPTION> <OPTION =
value=3D01>ADANA</OPTION> <OPTION=20
              value=3D02>ADIYAMAN</OPTION> <OPTION =
value=3D03>AFYON</OPTION> <OPTION=20
              value=3D04>A&#286;RI</OPTION> <OPTION =
value=3D68>AKSARAY</OPTION> <OPTION=20
              value=3D05>AMASYA</OPTION> <OPTION =
value=3D07>ANTALYA</OPTION> <OPTION=20
              value=3D75>ARDAHAN</OPTION> <OPTION =
value=3D08>ARTV&#304;N</OPTION> <OPTION=20
              value=3D09>AYDIN</OPTION> <OPTION =
value=3D10>BALIKES&#304;R</OPTION>=20
              <OPTION value=3D74>BARTIN</OPTION> <OPTION =
value=3D72>BATMAN</OPTION>=20
              <OPTION value=3D69>BAYBURT</OPTION> <OPTION=20
              value=3D11>B&#304;LEC&#304;K</OPTION> <OPTION =
value=3D12>B&#304;NG=D6L</OPTION> <OPTION=20
              value=3D13>B&#304;TL&#304;S</OPTION> <OPTION =
value=3D14>BOLU</OPTION> <OPTION=20
              value=3D15>BURDUR</OPTION> <OPTION =
value=3D16>BURSA</OPTION> <OPTION=20
              value=3D17>=C7ANAKKALE</OPTION> <OPTION =
value=3D18>=C7ANKIRI</OPTION>=20
              <OPTION value=3D19>=C7ORUM</OPTION> <OPTION =
value=3D20>DEN&#304;ZL&#304;</OPTION>=20
              <OPTION value=3D21>D&#304;YARBAKIR</OPTION> <OPTION=20
              value=3D81>D=DCZCE</OPTION> <OPTION =
value=3D22>ED&#304;RNE</OPTION> <OPTION=20
              value=3D23>ELAZI&#286;</OPTION> <OPTION =
value=3D24>ERZ&#304;NCAN</OPTION>=20
              <OPTION value=3D25>ERZURUM</OPTION> <OPTION=20
              value=3D26>ESK&#304;&#350;EH&#304;R</OPTION> <OPTION =
value=3D27>GAZ&#304;ANTEP</OPTION>=20
              <OPTION value=3D28>G&#304;RESUN</OPTION> <OPTION=20
              value=3D29>G=DCM=DC&#350;HANE</OPTION> <OPTION =
value=3D30>HAKKAR&#304;</OPTION>=20
              <OPTION value=3D31>HATAY</OPTION> <OPTION =
value=3D76>I&#286;DIR</OPTION>=20
              <OPTION value=3D32>ISPARTA</OPTION> <OPTION =
value=3D33>&#304;=C7EL</OPTION>=20
              <OPTION value=3D78>KARAB=DCK</OPTION> <OPTION=20
              value=3D70>KARAMAN</OPTION> <OPTION =
value=3D36>KARS</OPTION> <OPTION=20
              value=3D37>KASTAMONU</OPTION> <OPTION =
value=3D38>KAYSER&#304;</OPTION>=20
              <OPTION value=3D71>KIRIKKALE</OPTION> <OPTION=20
              value=3D39>KIRKLAREL&#304;</OPTION> <OPTION =
value=3D40>KIR&#350;EH&#304;R</OPTION>=20
              <OPTION value=3D79>K&#304;L&#304;S</OPTION> <OPTION =
value=3D41>KOCAEL&#304;</OPTION>=20
              <OPTION value=3D42>KONYA</OPTION> <OPTION =
value=3D43>K=DCTAHYA</OPTION>=20
              <OPTION value=3D44>MALATYA</OPTION> <OPTION =
value=3D45>MAN&#304;SA</OPTION>=20
              <OPTION value=3D46>MARA&#350;</OPTION> <OPTION =
value=3D47>MARD&#304;N</OPTION>=20
              <OPTION value=3D48>MU&#286;LA</OPTION> <OPTION =
value=3D49>MU&#350;</OPTION>=20
              <OPTION value=3D50>NEV&#350;EH&#304;R</OPTION> <OPTION =
value=3D51>N&#304;&#286;DE</OPTION>=20
              <OPTION value=3D52>ORDU</OPTION> <OPTION =
value=3D80>OSMAN&#304;YE</OPTION>=20
              <OPTION value=3D53>R&#304;ZE</OPTION> <OPTION =
value=3D54>SAKARYA</OPTION>=20
              <OPTION value=3D55>SAMSUN</OPTION> <OPTION =
value=3D56>S&#304;&#304;RT</OPTION>=20
              <OPTION value=3D57>S&#304;NOP</OPTION> <OPTION =
value=3D58>S&#304;VAS</OPTION>=20
              <OPTION value=3D73>&#350;IRNAK</OPTION> <OPTION=20
              value=3D59>TEK&#304;RDA&#286;</OPTION> <OPTION =
value=3D60>TOKAT</OPTION> <OPTION=20
              value=3D61>TRABZON</OPTION> <OPTION =
value=3D62>TUNCEL&#304;</OPTION>=20
              <OPTION value=3D63>&#350;ANLIURFA</OPTION> <OPTION =
value=3D64>U&#350;AK</OPTION>=20
              <OPTION value=3D65>VAN</OPTION> <OPTION =
value=3D77>YALOVA</OPTION>=20
              <OPTION value=3D66>YOZGAT</OPTION> <OPTION=20
              value=3D67>ZONGULDAK</OPTION></SELECT> =
</DIV></TD></TR></TBODY></TABLE></TD>
    <TD width=3D469>
      <TABLE width=3D469 align=3Dright border=3D0>
        <TBODY>
        <TR>
          <TD class=3Dstyle1 width=3D261 height=3D26>
            <DIV align=3Dleft><STRONG>VERG&#304; DA&#304;RES&#304; ADI =
se=E7iniz </STRONG></DIV></TD>
          <TD width=3D198>
            <DIV align=3Dleft><SELECT class=3DentryListBox id=3Dcity =
name=3Dcity>=20
              <OPTION value=3D"" selected>VD Ad&#350; =
Se=E7iniz</OPTION></SELECT>=20
        </DIV></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1>
      <DIV align=3Dleft><STRONG>TC K&#304;ML&#304;K NO/VERG&#304; =
K&#304;ML&#304;K NO</STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dvkno maxLength=3D11 size=3D12 =
name=3Dvkno>=20
</DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1 width=3D270>
      <DIV align=3Dleft><STRONG>ADI SOYADI/UNVANI </STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dad maxLength=3D200 size=3D30 =
name=3Dad>=20
      <STRONG></STRONG></DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1>
      <DIV align=3Dleft><STRONG>&#304;KAMETGAH ADRES&#304;/KANUN&#304; =
&#304;&#350; MERKEZ&#304; ADRES&#304;=20
      </STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dadres maxLength=3D200 size=3D50 =
name=3Dadres>=20
  </DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1>
      <DIV align=3Dleft><STRONG>EV TELEFONU/&#304;&#350; =
TELEFONU</STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dtel maxLength=3D10 size=3D10 =
name=3Dtel> </DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1>
      <DIV align=3Dleft><STRONG>CEP TELEFONU</STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dcep maxLength=3D10 size=3D10 =
name=3Dcep> </DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1>
      <DIV align=3Dleft><STRONG>E-POSTA ADRES&#304;</STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dmail maxLength=3D50 size=3D50 =
name=3Dmail>=20
  </DIV></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D240>
      <DIV align=3Dleft><STRONG>BA&#350;VURAN M=DCKELLEF/VERG&#304; =
SORUMLUSU <BR>KAMU KURUMU=20
      &#304;SE <BR>(5018 SAYILI KANUN KAPSAMINDA)</STRONG></DIV></TD>
    <TD class=3Dstyle1 width=3D100><STRONG>I SAYILI CETVEL</STRONG> =
<INPUT=20
      id=3Dcetvel0 onclick=3D"check('0')" type=3Dcheckbox =
name=3Dcetvel0></TD>
    <TD class=3Dstyle1 width=3D100><STRONG>II SAYILI CETVEL</STRONG> =
<INPUT=20
      id=3Dcetvel1 onclick=3D"check('1')" type=3Dcheckbox =
name=3Dcetvel1></TD>
    <TD class=3Dstyle1 width=3D111><STRONG>III SAYILI CETVEL</STRONG> =
<INPUT=20
      id=3Dcetvel2 onclick=3D"check('2')" type=3Dcheckbox =
name=3Dcetvel2></TD>
    <TD class=3Dstyle1 width=3D95><STRONG>IV SAYILI CETVEL</STRONG> =
<INPUT=20
      id=3Dcetvel3 onclick=3D"check('3')" type=3Dcheckbox=20
name=3Dcetvel3></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D239>
      <DIV align=3Dleft><STRONG>UYRU&#286;UNUZ</STRONG></DIV></TD>
    <TD class=3Dstyle1 width=3D99><STRONG>T.C.</STRONG> <INPUT =
id=3Duyruk0=20
      onclick=3D"checkUyruk('0')" type=3Dcheckbox name=3Duyruk0></TD>
    <TD class=3Dstyle1 align=3Dmiddle =
width=3D311><STRONG>YABANCI</STRONG> <INPUT=20
      id=3Duyruk1 onclick=3D"checkUyruk('1')" type=3Dcheckbox=20
  name=3Duyruk1></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D278>
      <DIV align=3Dleft><STRONG>M=DCKELLEF&#304;YET =
T=DCR=DC</STRONG></DIV></TD>
    <TD class=3Dstyle1 width=3D86><STRONG>TAM <BR>M=DCKELLEF =
</STRONG><BR><INPUT=20
      id=3DmukTur0 onclick=3D"checkMukTur('0')" type=3Dcheckbox =
name=3DmukTur0></TD>
    <TD class=3Dstyle1 width=3D87><STRONG>DAR <BR>M=DCKELLEF</STRONG> =
<BR><INPUT=20
      id=3DmukTur1 onclick=3D"checkMukTur('1')" type=3Dcheckbox =
name=3DmukTur1></TD>
    <TD class=3Dstyle1 width=3D87><STRONG>SORUMLU <BR>SIFATIYLA=20
      </STRONG><BR><INPUT id=3DmukTur2 onclick=3D"checkMukTur('2')" =
type=3Dcheckbox=20
      name=3DmukTur2></TD>
    <TD class=3Dstyle1 width=3D89><STRONG>M=DCKELLEF =
<BR>DE&#286;&#304;L</STRONG> <BR><INPUT=20
      id=3DmukTur3 onclick=3D"checkMukTur('3')" type=3Dcheckbox =
name=3DmukTur3></TD>
    <TD class=3Dstyle1 width=3D108><STRONG>S=DCREKS&#304;Z =
<BR>M=DCKELLEF&#304;YET</STRONG>=20
      <BR><INPUT id=3DmukTur4 onclick=3D"checkMukTur('4')" =
type=3Dcheckbox=20
      name=3DmukTur4></TD></TR></TBODY></TABLE><BR>
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D750 bgColor=3D#fff5ea =
border=3D1>
  <TBODY>
  <TR>
    <TD style=3D"COLOR: red">
      <DIV align=3Dcenter><STRONG>&#304;KINC&#304; B=D6L=DCM - =D6ZELGE =
TALEB&#304;N&#304;N=20
      =
&#304;=C7ER&#304;&#286;&#304;</STRONG></DIV></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D278>
      <DIV align=3Dleft><STRONG>=D6ZELGE TALEB&#304;N&#304;Z HANG&#304; =
VERG&#304; <BR>KANUNU/KANUNLARI=20
      &#304;LE &#304;LG&#304;L&#304;D&#304;R ?</STRONG></DIV></TD>
    <TD class=3Dstyle1 width=3D54><STRONG>VUK</STRONG> <INPUT =
id=3DvergiTur0=20
      type=3Dcheckbox name=3DvergiTur0></TD>
    <TD class=3Dstyle1 width=3D53><STRONG>KVK</STRONG> <INPUT =
id=3DvergiTur1=20
      type=3Dcheckbox name=3DvergiTur1></TD>
    <TD class=3Dstyle1 width=3D55><STRONG>GVK</STRONG> <INPUT =
id=3DvergiTur2=20
      type=3Dcheckbox name=3DvergiTur2></TD>
    <TD class=3Dstyle1 width=3D48><STRONG>KDV</STRONG><INPUT =
id=3DvergiTur3=20
      type=3Dcheckbox name=3DvergiTur3></TD>
    <TD class=3Dstyle1 width=3D50><STRONG>=D6TV</STRONG> <INPUT =
id=3DvergiTur4=20
      type=3Dcheckbox name=3DvergiTur4></TD>
    <TD class=3Dstyle1 width=3D58><STRONG>HAR=C7</STRONG> <INPUT =
id=3DvergiTur5=20
      type=3Dcheckbox name=3DvergiTur5></TD>
    <TD class=3Dstyle1 width=3D68><STRONG>DAMGA</STRONG> <INPUT =
id=3DvergiTur6=20
      type=3Dcheckbox name=3DvergiTur6></TD>
    <TD class=3Dstyle1 width=3D64><STRONG>D&#304;&#286;ER</STRONG> =
<INPUT id=3DvergiTur7=20
      type=3Dcheckbox name=3DvergiTur7></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D272>
      <DIV align=3Dleft><STRONG>TEREDD=DCT ED&#304;LEN <BR>KONUNUN=20
=D6ZET&#304;</STRONG></DIV></TD>
    <TD align=3Dleft width=3D472><TEXTAREA id=3Dozet name=3Dozet =
rows=3D10 cols=3D56></TEXTAREA>=20
  </TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D272>
      <DIV align=3Dleft><STRONG>TEREDD=DCT ED&#304;LEN KONU =
HAKKINDAK&#304; <BR>HUKUK&#304;=20
      DE&#286;ERLEND&#304;RMEN&#304;Z:</STRONG></DIV></TD>
    <TD align=3Dleft width=3D472><TEXTAREA id=3Ddegerlendirme =
name=3Ddegerlendirme rows=3D10 cols=3D56></TEXTAREA>=20
    </TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D272>
      <DIV align=3Dleft><STRONG>=D6ZELGE TALEP =
ETT&#304;&#286;&#304;N&#304;Z KONU HAKKINDA<BR>YANDAK&#304;=20
      &#304;&#350;LEMLERDEN HANG&#304;S&#304; <BR>S=D6Z =
KONUSUDUR?</STRONG></DIV></TD>
    <TD class=3Dstyle1 width=3D131><STRONG>&#304;NCELEME</STRONG> <INPUT =
id=3DozelgeKonu0=20
      onclick=3D"checkOzelgeKonu('0')" type=3Dcheckbox =
name=3DozelgeKonu0></TD>
    <TD class=3Dstyle1 width=3D114><STRONG>YARGI</STRONG> <INPUT =
id=3DozelgeKonu1=20
      onclick=3D"checkOzelgeKonu('1')" type=3Dcheckbox =
name=3DozelgeKonu1></TD>
    <TD class=3Dstyle1 width=3D121><STRONG>UZLA&#350;MA</STRONG> <INPUT =
id=3DozelgeKonu2=20
      onclick=3D"checkOzelgeKonu('2')" type=3Dcheckbox =
name=3DozelgeKonu2></TD>
    <TD class=3Dstyle1 =
width=3D98><STRONG>H&#304;=C7B&#304;R&#304;</STRONG> <INPUT =
id=3DozelgeKonu3=20
      onclick=3D"checkOzelgeKonu('3')" type=3Dcheckbox=20
  name=3DozelgeKonu3></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D270 rowSpan=3D2>
      <DIV align=3Dleft><STRONG>YAZILI =D6ZELGE CEVABININ E-POSTA OLARAK =

      G=D6NDER&#304;LMES&#304;N&#304; &#304;STER =
M&#304;S&#304;N&#304;Z?</STRONG></DIV></TD>
    <TD class=3Dstyle1 width=3D190><STRONG>EVET</STRONG> <INPUT =
id=3DsendMail0=20
      onclick=3D"checkMail('0')" type=3Dcheckbox name=3DsendMail0></TD>
    <TD class=3Dstyle1 width=3D190><STRONG>HAYIR</STRONG> <INPUT =
id=3DsendMail1=20
      onclick=3D"checkMail('1')" type=3Dcheckbox =
name=3DsendMail1></TD></TR>
  <TR>
    <TD class=3Dstyle1><STRONG>E-POSTA ADRES&#304;</STRONG></TD>
    <TD class=3Dstyle1><INPUT id=3DePosta maxLength=3D60 size=3D40=20
  name=3DePosta></TD></TR></TR></TBODY></TABLE><BR>
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D750 bgColor=3D#fff5ea =
border=3D1>
  <TBODY>
  <TR>
    <TD style=3D"COLOR: red">
      <DIV align=3Dcenter><STRONG>=DC=C7=DCNC=DC B=D6L=DCM - =
D&#304;&#286;ER=20
  B&#304;LG&#304;LER</STRONG></DIV></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D272 rowSpan=3D7><STRONG>=D6ZELGE =
BA&#350;VURU D&#304;LEK=C7EN&#304;Z=20
      EK&#304;NDE YER ALAN BELGELER :</STRONG></TD></TR>
  <TR>
    <TD align=3Dleft width=3D470><INPUT id=3Dek1 maxLength=3D200 =
size=3D73=20
  name=3Dek1></TD></TR>
  <TR>
    <TD align=3Dleft><INPUT id=3Dek2 maxLength=3D200 size=3D73 =
name=3Dek2></TD></TR>
  <TR>
    <TD align=3Dleft><INPUT id=3Dek3 maxLength=3D200 size=3D73 =
name=3Dek3></TD></TR>
  <TR>
    <TD align=3Dleft><INPUT id=3Dek4 maxLength=3D200 size=3D73 =
name=3Dek4></TD></TR>
  <TR>
    <TD align=3Dleft><INPUT id=3Dek5 maxLength=3D200 size=3D73 =
name=3Dek5></TD></TR>
  <TR>
    <TD align=3Dleft><INPUT id=3Dek6 maxLength=3D200 size=3D73=20
name=3Dek6></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 width=3D271 rowSpan=3D5><STRONG>VARSA SMMM, YMM =
<BR>Y=D6NEL&#304;K=20
      B&#304;LG&#304;LER&#304; =
BEL&#304;RT&#304;N&#304;Z</STRONG></TD></TR>
  <TR>
    <TD class=3Dstyle1 align=3Dleft =
width=3D257><STRONG>AD-SOYAD:</STRONG></TD>
    <TD align=3Dleft width=3D212><INPUT id=3Dymm_ad1 maxLength=3D200 =
size=3D30=20
      name=3Dymm_ad1></TD></TR>
  <TR>
    <TD class=3Dstyle1 align=3Dleft><STRONG>T.C. K&#304;ML&#304;K =
NUMARASI/VERG&#304; K&#304;ML&#304;K=20
      NUMARASI:</STRONG></TD>
    <TD align=3Dleft><INPUT id=3Dymm_vkno1 maxLength=3D11 size=3D15=20
  name=3Dymm_vkno1></TD></TR>
  <TR>
    <TD class=3Dstyle1 align=3Dleft><STRONG>AD-SOYAD:</STRONG></TD>
    <TD align=3Dleft><INPUT id=3Dymm_ad2 maxLength=3D200 size=3D30 =
name=3Dymm_ad2></TD></TR>
  <TR>
    <TD class=3Dstyle1 align=3Dleft><STRONG>T.C. K&#304;ML&#304;K =
NUMARASI/VERG&#304; K&#304;ML&#304;K=20
      NUMARASI: </STRONG></TD>
    <TD align=3Dleft><INPUT id=3Dymm_vkno2 maxLength=3D11 size=3D15=20
  name=3Dymm_vkno2></TD></TR></TBODY></TABLE><BR>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D750 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD style=3D"COLOR: red">
      <DIV align=3Dcenter><STRONG>UYARILAR</STRONG></DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1 align=3Dmiddle width=3D720><BR>
      <DIV align=3Djustify><STRONG>=D6ZELGEY&#304; H=DCK=DCMS=DCZ KILAN=20
      UNSURLAR:</STRONG><BR>Verilen =F6zelgeler, =F6zelgenin talep =
edildi&#287;i ilgili=20
      vergilendirme d=F6neminde y=FCr=FCrl=FCkte olan kanunlar =
=E7er=E7evesinde ge=E7erlidir.=20
      Olay&#305;n ger=E7ek mahiyetinin m=FCkellefin =F6zelge talebinde =
belirtti&#287;i=20
      hususlardan farkl&#305; oldu&#287;unun anla&#351;&#305;lmas&#305; =
durumunda ve =D6zelge Talep=20
      Formunun ve eklerinde yer alan bilgilerin ger=E7e&#287;i =
yans&#305;tmad&#305;&#287;&#305;n&#305;n tespiti=20
      durumunda verilmi&#351; olan =F6zelge ge=E7ersiz=20
olacakt&#305;r.</DIV><BR></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 =
bgColor=3D#fff5ea=20
  border=3D1><TBODY>
  <TR>
    <TD>
      <TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 =
width=3D746=20
      bgColor=3D#fff5ea border=3D0>
        <TBODY>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Dleft><STRONG>A&#350;A&#286;IDAK&#304; HALLERDE =
&#304;DARE =D6ZELGE TALEB&#304;N&#304;=20
            REDDEDEB&#304;L&#304;R:</STRONG></DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>1) Ba&#351;kalar&#305;n&#305;n vergi =
durumlar&#305;na ait bilgi ve=20
            a=E7&#305;klama talepleri</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>2) M=FCkelleflerce yarg&#305;ya intikal =
ettirilen=20
            olaylara ili&#351;kin =F6zelge talepleri</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>3) Hakk&#305;nda vergi incelemesi =
yap&#305;lmakta olan=20
            m=FCkelleflerce incelemeye konu olan i&#351;lemle ilgili =
=F6zelge=20
            talepleri</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>4) Somut bir olaya dayanmayan, teorik =
hususlara=20
            ili&#351;kin bilgi ve a=E7&#305;klama =
talepleri</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>5) Vergi kanunlar&#305;n&#305;n Maliye =
Bakanl&#305;&#287;&#305;na yetki=20
            verdigi konulara ili&#351;kin talepler</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>6) Vergi Usul Kanununun 124 =FCnc=FC =
maddesine g=F6re=20
            Maliye Bakanl&#305;&#287;&#305;nca incelenecek olan =
&#351;ikayet yoluyla m=FCracaat=20
            talepleri</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>7) Ba&#351;vuru sahibinin kimli&#287;i=20
            belirlenemiyorsa,</DIV></TD></TR>
        <TR>
          <TD class=3Dstyle1>
            <DIV align=3Djustify>8) Yetkili makamin talep edecegi ilave =
belge ya=20
            da bilgilerin zaman&#305;nda verilmemesi=20
      =
durumunda,</DIV></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D750 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1 align=3Dmiddle width=3D720><BR>
      <DIV align=3Djustify>=D6zelge talep formunda yer alan =
uyar&#305;lar da g=F6z=F6n=FCne=20
      al&#305;narak form doldurulmu&#351;tur. =D6zelge talep formunda =
yer alan hususlar=20
      ger=E7e&#287;i =
yans&#305;tmaktad&#305;r.</DIV></TD></TR></TBODY></TABLE>
<TABLE borderColor=3D#000000 cellSpacing=3D0 cellPadding=3D0 width=3D748 =
bgColor=3D#fff5ea=20
border=3D1>
  <TBODY>
  <TR>
    <TD class=3Dstyle1>
      <DIV align=3Dleft><STRONG>AD-SOYAD</STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3DadSoyad maxLength=3D50 size=3D30 =
name=3DadSoyad>=20
    </DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1 width=3D263>
      <DIV align=3Dleft><STRONG>&#304;MZA </STRONG></DIV></TD>
    <TD width=3D479>&nbsp;</TD></TR>
  <TR>
    <TD>
      <DIV class=3Dstyle1 align=3Dleft><STRONG>TAR&#304;H =
</STRONG></DIV></TD>
    <TD>
      <DIV align=3Dleft><INPUT id=3Dtarih maxLength=3D15 size=3D10 =
name=3Dtarih>=20
  </DIV></TD></TR>
  <TR>
    <TD class=3Dstyle1 colSpan=3D2>
      <DIV align=3Dleft>(*) Mutlaka m=FCkellef/sorumlu, vekili veya =
kanuni=20
      temsilcilerince =
imzalanmal&#305;d&#305;r.</DIV></TD></TR></TBODY></TABLE>
<DIV align=3Dcenter>
<P><INPUT onclick=3DcheckInput(this) type=3Dbutton value=3DG=F6ster> =
</P>
<SCRIPT language=3Djavascript>
<!--

setCities(document.getElementById("continent"));

-->
      </SCRIPT>
</EM>
<P></P></DIV></FORM></DIV></BODY></HTML>

