<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div class="row"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Kayıt</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="kullaniciadi">Kullanıcı Adı *</label> <div class="col-md-5"> <input id="kullaniciadi" name="kullaniciadi" placeholder="Kullanıcı Adı *" class="form-control input-md" required="" type="text"> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="sifre">Şifre *</label> <div class="col-md-5"> <input id="sifre" name="sifre" placeholder="Şifre *" class="form-control input-md" required="" type="password"> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="sifretekrar">Şifre Tekrarı *</label> <div class="col-md-5"> <input id="sifretekrar" name="sifretekrar" placeholder="Şifre Tekrarı *" class="form-control input-md" required="" type="password"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="adsoyad">Ad ve Soyadınız*</label> <div class="col-md-5"> <input id="adsoyad" name="adsoyad" placeholder="Ad ve Soyadınız*" class="form-control input-md" required="" type="text"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">Cinsiyet</label> <div class="col-md-5"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Kadın</option> <option value="2">Erkek</option> <option value="3">Diğer</option> </select> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="kurumunuz">Kurumunuz</label> <div class="col-md-4"> <textarea class="form-control" id="kurumunuz" name="kurumunuz"></textarea> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="unvan">Ünvanınız</label> <div class="col-md-5"> <input id="unvan" name="unvan" placeholder="Ünvanınız" class="form-control input-md" type="text"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="imza">İmzanız (kurum ve iletişim bilgisi)</label> <div class="col-md-4"> <textarea class="form-control" id="imza" name="imza"></textarea> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="email">E-mail Adresiniz*</label> <div class="col-md-5"> <input id="email" name="email" placeholder="E-mail Adresiniz*" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="emailtekrar">E-mail Adresiniz Tekrar *</label> <div class="col-md-5"> <input id="emailtekrar" name="emailtekrar" placeholder="E-mail Adresiniz Tekrar *" class="form-control input-md" required="" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="webadres">Web Adresiniz</label> <div class="col-md-5"> <input id="webadres" name="webadres" placeholder="Web Adresiniz" class="form-control input-md" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="telno">Telefon Numaranız</label> <div class="col-md-5"> <input id="telno" name="telno" placeholder="Telefon Numaranız" class="form-control input-md" type="text"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="gsmfax">GSM/Faks </label> <div class="col-md-5"> <input id="gsmfax" name="gsmfax" placeholder="GSM/Faks " class="form-control input-md" type="text"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="adres">Adresiniz</label> <div class="col-md-4"> <textarea class="form-control" id="adres" name="adres"></textarea> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="ulke">Ülkeniz</label> <div class="col-md-5"> <select id="ulke" name="ulke" class="form-control"> <option value="1">Afganistan</option> <option value="">Almanya</option> <option value="">Amerika Birleşik Devletleri</option> <option value="">Angola</option> <option value="">Arjantin</option> <option value="">Arnavutluk</option> <option value="">Avustralya</option> <option value="">Avusturya</option> <option value="">Bangladeş</option> <option value="">Belçika</option> <option value="">Benin</option> <option value="">Beyaz Rusya</option> <option value="">Birleşik Arap Emirlikleri</option> <option value="">Bolivya</option> <option value="">Bosna ve Hersek</option> <option value="">Botswana</option> <option value="">Brezilya</option> <option value="">Bulgaristan</option> <option value="">Burkina Faso</option> <option value="">Burundi</option> <option value="">Cezayir</option> <option value="">Colombia</option> <option value="">Çad</option> <option value="">Çek Cumhuriyeti</option> <option value="">Çin</option> <option value="">Danimarka</option> <option value="">Dominik Cumhuriyeti</option> <option value="">Ekvador</option> <option value="">El Salvador</option> <option value="">Endonezya</option> <option value="">Eritre</option> <option value="">Ermenistan</option> <option value="">Estonya</option> <option value="">Etiyopya</option> <option value="">Fas</option> <option value="">Fiji</option> <option value="">Fildişi Sahili</option> <option value="">Filipinler</option> <option value="">Filistin Bölgesi</option> <option value="">Finlandiya</option> <option value="">Fransa</option> <option value="">forumdas.net</option> <option value="">Gabon</option> <option value="">Gambia</option> <option value="">Gana</option> <option value="">Georgia</option> <option value="">Gine</option> <option value="">Guatemala</option> <option value="">Güney Afrika</option> <option value="">Güney Kore</option> <option value="">Haiti</option> <option value="">Hırvatistan</option> <option value="">Hindistan</option> <option value="">Hollanda</option> <option value="">Honduras</option> <option value="">Hong Kong</option> <option value="">Irak</option> <option value="">İngiltere</option> <option value="">İran</option> <option value="">İrlanda</option> <option value="">İspanya</option> <option value="">İsrail</option> <option value="">İsveç</option> <option value="">İsviçre</option> <option value="">İtalya</option> <option value="">Jamaika</option> <option value="">Japonya</option> <option value="">Kamboçya</option> <option value="">Kamerun</option> <option value="">Kanada</option> <option value="">Kazakistan</option> <option value="">Kenya</option> <option value="">Kırgızistan</option> <option value="">Kongo</option> <option value="">Kosta Rika</option> <option value="">Kuveyt</option> <option value="">Kuzey Kore</option> <option value="">Küba</option> <option value="">Laos</option> <option value="">Lesotho</option> <option value="">Letonya</option> <option value="">Libya</option> <option value="">Litvanya</option> <option value="">Lübnan</option> <option value="">Macaristan</option> <option value="">Madagaskar</option> <option value="">Makedonya</option> <option value="">Malawi</option> <option value="">Malezya</option> <option value="">Mali</option> <option value="">Mauritius Adası</option> <option value="">Meksika</option> <option value="">Mısır</option> <option value="">Moğolistan</option> <option value="">Moldova</option> <option value="">Moritanya</option> <option value="">Mozambik</option> <option value="">Myanmar</option> <option value="">Namibia</option> <option value="">Nepal</option> <option value="">Nijer</option> <option value="">Nijerya</option> <option value="">Nikaragua</option> <option value="">Norveç</option> <option value="">Özbekistan</option> <option value="">Pakistan</option> <option value="">Panama</option> <option value="">Papua Yeni Gine</option> <option value="">Paraguay</option> <option value="">Peru</option> <option value="">Polonya</option> <option value="">Portekiz</option> <option value="">Porto Riko</option> <option value="">Romanya</option> <option value="">Ruanda</option> <option value="">Rusya</option> <option value="">Senegal</option> <option value="">Sırbistan</option> <option value="">Sierra Leone</option> <option value="">Singapur</option> <option value="">Slovakya</option> <option value="">Slovenya</option> <option value="">Somali</option> <option value="">Sri Lanka</option> <option value="">Sudan</option> <option value="">Suriye</option> <option value="">Suudi Arabistan</option> <option value="">Svaziland</option> <option value="">Şili</option> <option value="">Tacikistan</option> <option value="">Tanzanya</option> <option value="">Tayland</option> <option value="">Tayvan</option> <option value="">Togo</option> <option value="">"Trinidad ve Tobago</option> <option value="">Tunus</option> <option value="">Türkiye</option> <option value="">Türkmenistan</option> <option value="">Uganda</option> <option value="">Ukrayna</option> <option value="">Umman</option> <option value="">Uruguay</option> <option value="">Ürdün</option> <option value="">Venezuela</option> <option value="">Vietnam</option> <option value="">Yemen</option> <option value="">Yeni Zelanda</option> <option value="">Yunanistan</option> <option value="">Zambiya</option> <option value="">Zimbabwe</option> </select> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="ozgecmis">Özgeçmişiniz</label> <div class="col-md-4"> <textarea class="form-control" id="ozgecmis" name="ozgecmis"></textarea> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="calismadil">Çalışma Dilleriniz</label> <div class="col-md-4"> <div class="checkbox"> <label for="calismadil-0"> <input name="calismadil" id="calismadil-0" value="1" type="checkbox"> Deutsch </label> </div> <div class="checkbox"> <label for="calismadil-1"> <input name="calismadil" id="calismadil-1" value="2" type="checkbox"> English </label> </div> <div class="checkbox"> <label for="calismadil-2"> <input name="calismadil" id="calismadil-2" value="" type="checkbox"> Español </label> </div> <div class="checkbox"> <label for="calismadil-3"> <input name="calismadil" id="calismadil-3" value="" type="checkbox"> Français </label> </div> <div class="checkbox"> <label for="calismadil-4"> <input name="calismadil" id="calismadil-4" value="" type="checkbox"> Türkçe </label> </div> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="seklindekayit">Şeklinde Kaydol</label> <div class="col-md-4"> <div class="checkbox"> <label for="seklindekayit-0"> <input name="seklindekayit" id="seklindekayit-0" value="1" type="checkbox"> Okuyucu: Derginin sayısı yayınlandığında e-posta ile bildirilecektir. </label> </div> <div class="checkbox"> <label for="seklindekayit-1"> <input name="seklindekayit" id="seklindekayit-1" value="2" type="checkbox"> Yazar: Eserleri ile ilgili sorun veya eksiklikte e-posta ile bildirilecektir. </label> </div> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="sozlesme">Sözleşme</label> <div class="col-md-4"> <div class="checkbox"> <label for="sozlesme-0"> <input name="sozlesme" id="sozlesme-0" value="1" type="checkbox"> Kullanıcı Sözleşmesini Okudum ve Kabul Ediyorum </label> </div> </div> </div> <!-- Button (Double) --> <div class="form-group"> <label class="col-md-4 control-label" for="kaydet"></label> <div class="col-md-8"> <button id="kaydet" name="kaydet" class="btn btn-success">Kaydet</button> <button id="iptal" name="iptal" class="btn btn-danger">İptal</button> </div> </div> </fieldset> </form> </div> </div>