index.php
<html>

<head>
<meta http-equiv="Content-Language" content="tr">
<meta http-equiv="Content-Type" content="text/html;">
<meta name="GENERATOR" content="Macromedia Dreamweawer 8">
<meta name="ProgId" content="FrontPage.Editor.Document">
<meta name="description" content="Personel Başvuru formu">
<meta name="keywords" content="Personel Başvuru formu">
<title>Yeni Bir Ben Başvuru Formu</title>


<style type="text/css">
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body {
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</head>


<body link="#FFD700" vlink="#FFD700" alink="#FFD700" leftmargin="0" topmargin="0">
<center>
  <p><strong>Yeni Bir Ben Başvuru </strong></p>
</center>


              

<form method="post" action="gonder.php" enctype="multipart/form-data">
                <div align="center">
                  <center>
                    <table border="0" cellpadding="0" cellspacing="1" height="42">
                      <tr></tr>
                      <tr>
                        <td height="1" align="right"><span class="style11">E-Posta Aderesiniz : </span></td>
                        <td height="1"><span class="style12">
                        <input name="eposta" id="eposta" style="font-family: verdana; color: #FFD700; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </span></td>
                      </tr>
                      <tr>
                        <td height="2" align="right"><span class="style11">İsim Soyisim :</span></td>
                        <td height="2"><span class="style12">
                          <input name="ad" id="ad" style="font-family: verdana; color: #FFD700; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </span></td>
                      </tr>
                      <tr>
                        <td height="10" align="right"><span class="style11">Doğum Tarihi :</span></td>
                        <td height="10"><span class="style12">
                          <input name="dogumtarihi" id="dogumtarihi" style="font-family: verdana; color: #FFD700; font-size: 8pt; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </span></td>
                      </tr>
                      <tr>
                        <td height="21" align="right"><span class="style11"> Adresiniz : </span></td>
                        <td height="21"><span class="style12"><font size="1">
                          <textarea name="adres" cols="35" rows="3" id="adres" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000"></textarea>
                          * </font></span></td>
                      </tr>
                      <tr>
                        <td height="21" align="right"><span class="style11">Ev Telefonu : </span></td>
                        <td height="21"><span class="style12"><font size="1">
                          <input name="evtel" id="evtel" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </font></span></td>
                      </tr>
                      <tr>
                        <td height="21" align="right"><span class="style11"> Cep Telefonu : </span></td>
                        <td height="21"><span class="style12"><font size="1">
                          <input name="ceptel" id="ceptel" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </font></span></td>
                      </tr>
                      <tr>
                        <td height="21" align="right"><span class="style11">Öğrenim Durumu : </span></td>
                        <td height="21"><span class="style14"><font size="1">
                          <select name="mezun" size="1" id="mezun" style="color: #FFD700; border: 1px solid #FFD700; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1; background-color: #000000">
                            <option selected>Lütfen Seçim Yapınız</option>
                            <option></option>
                            <option>İlkokul</option>
                            <option>İlk Öğretim</option>
                            <option>Lise</option>
                            <option>Üniversite</option>
                            <option>Lisans Üstü</option>
                          </select>
                          * </font> </span></td>
                      </tr>
                      <tr>
                        <td height="21" align="right"><span class="style11">Medeni Hali : </span></td>
                        <td height="21"><span class="style14"> <font size="1">
                          <select name="medeni" size="1" id="medeni" style="color: #FFD700; border: 1px solid #FFD700; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1; background-color: #000000">
                            <option>L&uuml;tfen Se&ccedil;im Yapınız</option>
                            <option>Evli</option>
                            <option>Bekar</option>
                            <option>Dul</option>
                          </select>
                          * </font> </span></td>
                      </tr>
                      <tr>
                        <td align="right" height="24"><span class="style11"> Boy :</span></td>
                        <td height="24"><span class="style14"><font size="1">
                          <input name="nerde" id="nerde" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          *</font></span></td>
                      </tr>
                      <tr>
                        <td align="right" height="21"><span class="style11"> Kilo  :</span></td>
                        <td height="21"><span class="style14"><font size="1">
                          <input name="sure" id="sure" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          *</font></span></td>
                      </tr>
                      <tr>
                        <td height="10" align="right"><span class="style11"> <strong>Vucudunuzda değiştirmek istediğiniz b&ouml;lgeniz var mı?Varsa Neden </strong> :</span></td>
                        <td height="10"><span class="style14"><font size="1">
                          <input name="sonfirma" id="sonfirma" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </font> </span></td>
                      </tr>
                      <tr>
                        <td height="10" align="right"><p><span class="style16">En b&uuml;y&uuml;k hayaliniz nedir</span><strong>?</strong></p></td>
                        <td height="10"><span class="style14"><font size="1">
                          <input name="giristar" id="giristar" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000" size="30">
                          * </font></span></td>
                      </tr>
                      <tr>
                        <td height="21" align="right"><p class="style2 style7">Kısaca Hayat Hikayenizi Yazarmısınız  :</p></td>
                        <td height="21"><span class="style14"><font size="1">
                          <textarea name="cikistar" cols="30" id="cikistar" style="color: #FFD700; font-weight: italic; border: 1px solid #FFD700; background-color: #000000"></textarea>
                          * </font></span></td>
                      </tr>
                      <tr>
                        <td height="20" colspan="2" align="right" valign="middle"><div align="center" class="style11">Formu Tamamlayıp G&ouml;ndere Basınız.Eğer Eksik Veya Hata Var İse Sil Butonundan Temizleyebilrisiniz. </div></td>
                      </tr>
                   
                      <tr>
                        <td height="75" colspan="2"><p align="center"> <font size="1"><span class="style14"></span></font><font size="1" color="#FFD700">
                            <input name="submit" type="submit" style="font-weight: italic; border: 1px solid #FFD700; padding: 0; background-color: #000000; color:#FFD700" value=" Gönder ">
                          &nbsp;&nbsp;&nbsp;&nbsp;
                          <input name="reset" type="reset" style="font-weight: italic; border: 1px solid #FFD700; padding: 0; background-color: #000000; color:#FFD700" value=" Sil ">
                          </font></p>
                            <p align="center" class="style2 style13"> <font color="#FFFFFF">* İşaretli Alanların Doldurulması Zorunludur... <br>
                          </font></td>
                        <p align="center"> <font face="verdana" size="1" color="#FFFFFF"> </font>
                        <td width="12"></td>
                      </tr>
                    </table>
                  </center>
                </div>
</form>
</body>

</html>
gonder.php

<?
$say=rand(1,50000);
$say1=rand(50000,100000);
function latinChars($str) {
  $str = ereg_replace('ç', 'c', $str);
  $str = ereg_replace('ğ', 'g', $str);
  $str = ereg_replace('ı', 'i', $str);
  $str = ereg_replace('ö', 'o', $str);
  $str = ereg_replace('ş', 's', $str);
  $str = ereg_replace('ü', 'u', $str);
  $str = ereg_replace('Ç', 'C', $str);
  $str = ereg_replace('Ğ', 'G', $str);
  $str = ereg_replace('İ', 'I', $str);
  $str = ereg_replace('Ö', 'O', $str);
  $str = ereg_replace('Ş', 'S', $str);
  $str = ereg_replace('Ü', 'U', $str);
  $str = ereg_replace('â', 'a', $str);
  $str = ereg_replace('Â', 'A', $str);
  $str = ereg_replace('î', 'i', $str);
  $str = ereg_replace('Î', 'i', $str);
  $str = ereg_replace('ô', 'o', $str);
  $str = ereg_replace('û', 'u', $str);  
  $str = ereg_replace('!', '_', $str);
  $str = ereg_replace('%', '-', $str);
  $str = ereg_replace('&', 'a', $str);
  $str = ereg_replace('=', 'a', $str);
  $str = ereg_replace('@', 'q', $str);
  $str = ereg_replace('æ', 'a', $str);
  $str = ereg_replace('ß', 'b', $str);
  $str = ereg_replace('´', '-', $str);
  $str = ereg_replace('~', '_', $str);
  $str = ereg_replace('€', 'e', $str);
  $str = ereg_replace('#', '_', $str);
  $str = ereg_replace('½', '_', $str);
  $str = ereg_replace('{', '_', $str);
  $str = ereg_replace(']', '_', $str);
  $str = ereg_replace('}', '_', $str);
  

  return $str;
}

$eposta=$_POST['eposta'];
$ad=$_POST['ad'];
$dogumtarihi=$_POST['dogumtarihi'];
$adres=$_POST['adres'];
$evtel=$_POST['evtel'];
$ceptel=$_POST['ceptel'];
$mezun=$_POST['mezun'];
$medeni=$_POST['medeni'];
$nerde=$_POST['nerde'];
$sure=$_POST['sure'];
$sonfirma=$_POST['sonfirma'];
$giristar=$_POST['giristar'];
$cikistar=$_POST['cikistar'];

$alici = "irondragonadmin@gmail.com"; //lütfen buraya e-posta adresinizi yazin(yazmazsaniz script çalismaz) 
$konu = "Yeni Bir Ben Başvuru "; //buraya size gönderilecek olan epostanin konusunu yaziniz
$mesaj = "Yeni Bir Ben Yarışma Programı Başvuru ... [ SMT ]

-----------------Başvuru Başlangıç [ Yeni Bir Ben ] -------------------

Adi: $ad

E-Posta Adresi: $eposta

Dogum Tarihi: $dogumtarihi

ikametgah Adresi: $adres

Ev Telefonu: $evtel

Cep Telefonu: $ceptel

ögrenim Durumu: $mezun

Medeni Hali: $medeni

Boy : $nerde

Kilo : $sure

Vucudunuzda değiştirmek istediğiniz bölgeniz var mı?Varsa Neden : $sonfirma

En büyük hayaliniz nedir : $giristar

Kysaca Hayat Hikayenizi Yazarmısınız  : $cikistar



-------Başvuru Formu Bitiş [ SMT ]----------

"; // size gönderilecek olan postanin içerik bölümü
mail($alici, $konu, $mesaj, "From: $ad <$eposta>\nX-Mailer: PHP/" . phpversion());
header( "Content-Type: text/html; charset=iso-8859-9\n" );
header("Location: gonderildi.php");
 
?>
Bu Şekilde İstediğin Olacaktır Test Etmedim Ama Upload Kısmını Çıkardım.