<!DOCTYPE HTML>
<html lang="en-US">
<head>
<meta charset="UTF-8">
<title></title>
</head>
<body>
<form action="" method="POST">
<input type="text" name="adsoyad" />
<input type="date" name="dogumtarihi" />
<input type="submit" value="Gönder" name="gonder" />
</form>
<?php
if(isset($_POST["gonder"])){
echo 'Benim adım '.$_POST["adsoyad"].', ben '.$_POST["dogumtarihi"].' doğumluyum.';
}
?>
</body>
</html>