Tarih ( Bugn ) : <script language="javascript">
<!-- 
Today = new Date();
TodayDay = Today.getDate();
TodayMon = Today.getMonth();
TodayYear = Today.getYear();
if (TodayYear < 2000) TodayYear += 1900;

if (TodayMon == 0) { TodayMonth = "Ocak"; } 
else if (TodayMon == 1) { TodayMonth = "ubat"; }
else if (TodayMon == 2) { TodayMonth = "Mart"; }
else if (TodayMon == 3) { TodayMonth = "Nisan"; }
else if (TodayMon == 4) { TodayMonth = "Mays"; }
else if (TodayMon == 5) { TodayMonth = "Haziran"; }
else if (TodayMon == 6) { TodayMonth = "Temmuz"; }
else if (TodayMon == 7) { TodayMonth = "Austos"; }
else if (TodayMon == 8) { TodayMonth = "Eyll"; }
else if (TodayMon == 9) { TodayMonth = "Ekim"; }
else if (TodayMon == 10) { TodayMonth = "Kasm"; }
else if (TodayMon == 11) { TodayMonth = "Aralk"; }
else { TodayMonth = TodayMon; }

document.write(TodayMonth + " " + TodayDay + ", " + TodayYear);

-->
</script>

<style type="text/css">
body {
height: 100%;
padding: 0;
margin: 0;
}
html {
height: 100%;
padding: 0;
margin: 0;
}
#rect1 {
 
float: left;
width: 49% ;
height: 50%;
}
#rect2 {
background-color: #999999;
height: 50%;
}
#rect3 {
background-color: #999999;
float: left;
width: 49% ;
height: 50%;
}
#rect4 {

height: 50%;
}
</style>


 



<html>
<body>
<form action="insert.php" method="post">
<form method='post' action='dateinsert.php'>
GN : <select name="gun"><option value="1">1</option><option value="2">2</option value="3"><option>3</option> <option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option> <option value="10">10</option><option value="11">11</option><option value="12">12</option> <option value="13">13</option><option value="14">14</option><option value="15">15</option> <option value="16">16</option><option value="17">17</option><option value="18">18</option> <option value="19">19</option><optionvalue="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>


<br>




<br>
AY : <select name="ay"><option value="ocak">ocak</option><option value="subat">subat</option><option value="mart">mart</option>
<option value="nisan">nisan</option><option value="mayis">mayis</option><option value="haziran">haziran</option>

<option value="temmuz">temmuz</option><option value="agustos">agustos</option><option value="eylul">eylul</option>
<option value="ekim">ekim</option><option value="kasim">kasim</option><option value="aralik">aralik</option></select>
<br>
<br>



YIL : <select name="yil" ><option value="08">2008</option><option value="09">2009</option><option value="10">2010</option> 



<option value="11">2011</option><option value="12">2012</option><option value="13">2013</option></select>
<br><br>



 






<br>
<a href="tableshow.htm" target="_blank"> Tarih Seerek ilgili TABLO yu grmek iin Buraya Tklaynz ! </a> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="sil2.htm">Saat deitirmek istiyorum KAYDIMI SL ! ( Saat deitirmek iin nce olan kaydnz buraya tklayarak sildirin ) </a>

<br>
sminizi, Soyadnz, T.C. KMLK NO , Randevu iin Saat ve Telefon numarasn girin ve " Bilgilerimi Gir " e basnz.<br>
* <font color="red">ZORUNLU ALANLAR : T.C. Kimlik No; SM; SOYAD; Randevu SAAT
</font>

<form action="insert.php" method="post">
<font color="blue">sim : <input type="text" name="firstname" /></font>
<font color="red">SoyAd : <input type="text" name="lastname" /></font>
<font color="blue">T.C. Kimlik No : <input type="text" name="kimlik" /></font>


<div id="rect1">
<INPUT type="radio" name="age" value="08:00:00"> 8:00<BR>
<INPUT type="radio" name="age" value="08:10:00"> 8:10<BR>
<INPUT type="radio" name="age" value="08:20:00"> 8:20<BR>
<INPUT type="radio" name="age" value="08:30:00"> 8:30<BR>
<INPUT type="radio" name="age" value="08:40:00"> 8:40<BR>
<INPUT type="radio" name="age" value="08:50:00"> 8:50<BR>
<INPUT type="radio" name="age" value="09:00:00"> 9:00<BR>
<INPUT type="radio" name="age" value="09:10:00"> 9:10<BR>
<INPUT type="radio" name="age" value="09:20:00"> 9:20<BR>
<INPUT type="radio" name="age" value="09:30:00"> 9:30<BR>
<INPUT type="radio" name="age" value="09:40:00"> 9:40<BR>
<INPUT type="radio" name="age" value="09:50:00"> 9:50<br>
</div>

<div id="rect2">
<INPUT type="radio" name="age" value="13:00:00"> 13:00<BR>
<INPUT type="radio" name="age" value="13:10:00"> 13:10<BR>
<INPUT type="radio" name="age" value="13:20:00"> 13:20<BR>
<INPUT type="radio" name="age" value="13:30:00"> 13:30<BR>
<INPUT type="radio" name="age" value="13:40:00"> 13:40<BR>
<INPUT type="radio" name="age" value="13:50:00"> 13:50<BR>
<INPUT type="radio" name="age" value="14:00:00"> 14:00<BR>
<INPUT type="radio" name="age" value="14:10:00"> 14:10<BR>
<INPUT type="radio" name="age" value="14:20:00"> 14:20<BR>
<INPUT type="radio" name="age" value="14:30:00"> 14:30<BR>
<INPUT type="radio" name="age" value="14:40:00"> 14:40<BR>
<INPUT type="radio" name="age" value="14:50:00"> 14:50<br>
</div>




<div id="rect3">
<INPUT type="radio" name="age" value="10:00:00"> 10:00<BR>
<INPUT type="radio" name="age" value="10:10:00"> 10:10<BR>
<INPUT type="radio" name="age" value="10:20:00"> 10:20<BR>
<INPUT type="radio" name="age" value="10:30:00"> 10:30<BR>
<INPUT type="radio" name="age" value="10:40:00"> 10:40<BR>
<INPUT type="radio" name="age" value="10:50:00"> 10:50<BR>
<INPUT type="radio" name="age" value="11:00:00"> 11:00<BR>
<INPUT type="radio" name="age" value="11:10:00"> 11:10<BR>
<INPUT type="radio" name="age" value="11:20:00"> 11:20<BR>
<INPUT type="radio" name="age" value="11:30:00"> 11:30<BR>
<INPUT type="radio" name="age" value="11:40:00"> 11:40<BR>
<INPUT type="radio" name="age" value="11:50:00"> 11:50<br>
</div>
  
<div id="rect4">
<INPUT type="radio" name="age" value="15:00:00"> 15:00<BR>
<INPUT type="radio" name="age" value="15:10:00"> 15:10<BR>
<INPUT type="radio" name="age" value="15:20:00"> 15:20<BR>
<INPUT type="radio" name="age" value="15:30:00"> 15:30<BR>
<INPUT type="radio" name="age" value="15:40:00"> 15:40<BR>
<INPUT type="radio" name="age" value="15:50:00"> 15:50<BR>
<INPUT type="radio" name="age" value="16:00:00"> 16:00<BR>
<INPUT type="radio" name="age" value="16:10:00"> 16:10<BR>
<INPUT type="radio" name="age" value="16:20:00"> 16:20<BR>
<INPUT type="radio" name="age" value="16:30:00"> 16:30<BR>
<INPUT type="radio" name="age" value="16:40:00"> 16:40<BR>
<INPUT type="radio" name="age" value="16:50:00"> 16:50<br>
</div>
 
<br>
<font color="red">Telefon : <input type="text" name="telefon" /></font>

<input type="submit" value="Bilgilerimi Gir" />
</form></body>


</html>
 