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<td valign=”top”><form method=”post” enctype=”multipart/form-data” action=”contact.php” onsubmit=”return kontrol()” name=”iletform”>
<h3><font size=”3″>BAŞVURU FORMU</font> </h3>
<table border=”0″>
<tbody>
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<td>Adınız Soyadınız (*)</td>
<td><input value=”” size=”20″ name=”ad” id=”adsoyad” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Doğum Tarihiniz </td>
<td><input value=”” size=”20″ name=”dtarih” id=”dogumtarihi” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Doğum Yeriniz : </td>
<td><input value=”” size=”20″ name=”dyer” id=”dogumyeri” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Bulunduğunuz Şehir : </td>
<td><input value=”” size=”20″ name=”byer” id=”sehir” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Öğrenim Durumunuz </td>
<td><input value=”” size=”20″ name=”ogrdurum” id=”ogrenimdurumu” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Cinsiyetiniz</td>
<td><select size=”” name=”cins” id=”cinsiyet”>
<option value=”Bay”>Bay</option>
<option value=”Bayan” selected>Bayan</option>
</select></td>
<td></td>
</tr>
<tr>
<td>Mesleğiniz </td>
<td><input value=”” size=”20″ name=”meslek” id=”meslek” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Oyunculuk Eğitiminiz (Varsa): </td>
<td><input value=”” size=”20″ name=”oegitim” id=”oyunegitim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Bedeniniz </td>
<td><input value=”” size=”20″ name=”beden” id=”beden” type=”text”></td>
<td></td>
</tr>
<tr>
<td></td>
<td>Göğüs / Bel / Basen (Bayanlar için):
<div><span id=”component61″> </span></div></td>
<td></td>
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<td>Göğüs </td>
<td><input value=”” size=”20″ name=”gogus” id=”gogus” type=”text”></td>
<td></td>
</tr>
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<td>Bel</td>
<td><input value=”” size=”20″ name=”bel” id=”bel” type=”text”></td>
<td></td>
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<td>Basen</td>
<td><input value=”” size=”20″ name=”basen” id=”basen” type=”text”></td>
<td></td>
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<td>Jean</td>
<td><input value=”” size=”20″ name=”jean” id=”jean” type=”text”></td>
<td></td>
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<td>Boyunuz</td>
<td><input value=”” size=”20″ name=”boy” id=”boyunuz” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Kilonuz</td>
<td><input value=”” size=”20″ name=”kilo” id=”kilonuz” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Ten Renginiz</td>
<td><input value=”” size=”20″ name=”trenk” id=”tenrenginiz” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Saç Renginiz</td>
<td><input value=”” size=”20″ name=”srenk” id=”sacrengi” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Göz Renginiz </td>
<td><input value=”” size=”20″ name=”grenk” id=”gozrengi” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Yabancı Dil</td>
<td><input value=”” size=”20″ name=”ydil” id=”yabancidil” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Tiyatro Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”tiydeneyim” id=”tiyatrodeneyim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Dizi Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”dizideneyim” id=”dizideneyim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Reklam Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”rekdeneyim” id=”reklamdeneyim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Sinema Film Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”sindeneyim” id=”sinemadeneyim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Klip Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”klipdeneyim” id=”klipdeneyimi” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Tanıtım Film Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”tanitdeneyim” id=”tanitimdeneyim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Kısa Film Deneyiminiz (Varsa)</td>
<td><input value=”” size=”20″ name=”kisadeneyim” id=”kisafilmdeneyim” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Özel Yetenekleriniz (Varsa)</td>
<td><input value=”” size=”20″ name=”oyetenek” id=”ozelyetenek” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Yaptığınız Sporlar</td>
<td><input value=”” size=”20″ name=”spor” id=”spor” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Adresiniz </td>
<td><textarea cols=”30″ rows=”4″ name=”adres” id=”adres”></textarea></td>
<td></td>
</tr>
<tr>
<td></td>
<td>Telefon Numaralarınız
<div><span id=”component82″> </span></div></td>
<td></td>
</tr>
<tr>
<td>Ev</td>
<td><input value=”” size=”20″ name=”ev” id=”evtel” type=”text”></td>
<td></td>
</tr>
<tr>
<td>İş</td>
<td><input value=”” size=”20″ name=”is2″ id=”istel” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Cep (*)</td>
<td><input value=”” size=”20″ name=”cep” id=”telcep” type=”text”></td>
<td></td>
</tr>
<tr>
<td>E-posta adresiniz (*)</td>
<td><input value=”” size=”20″ name=”email” id=”eposta” type=”text”></td>
<td></td>
</tr>
<tr>
<td>Fotograf1 (*)</td>
<td><input name=”dosya1″ id=”images1″ type=”file”></td>
<td></td>
</tr>
<tr>
<td>Fotograf2</td>
<td><input name=”dosya2″ id=”images2″ type=”file”>
<div><span id=”component88″> </span></div></td>
<td></td>
</tr>
<tr>
<td>Fotograf3</td>
<td><input name=”dosya3″ id=”images3″ type=”file”>
<div><span id=”component89″> </span></div></td>
<td></td>
</tr>
<tr>
<td>Fotograf4</td>
<td><input name=”dosya4″ id=”images4″ type=”file”>
<div><span id=”component90″> </span></div></td>
<td></td>
</tr>
<tr>
<td>Fotograf5</td>
<td><input name=”dosya5″ id=”images4″ type=”file”>
<div><span id=”component90″> </span></div></td>
<td></td>
</tr>
<tr>
<td>Video<br /><sup>(Model hariç) mpeg yada wmv uzantılı. En fazla 20 Mb</sup></td>
<td><input name=”dosya6″ id=”images4″ type=”file”>
<div><span id=”component90″> </span></div></td>
<td></td>
</tr>
<tr>
<td>Mp3<br /><sup>(Dj / Solist) En fazla 10 Mb</sup></td>
<td><input name=”dosya7″ id=”images4″ type=”file”>
<div><span id=”component90″> </span></div></td>
<td></td>
</tr>
<tr>
<td></td>
<td><input value=”Gönder” id=”gonder” type=”submit”>
<div><span id=”component57″> </span></div></td>
<td></td>
</tr>
</tbody>
</table>
</form></td>
</tr>
</table>