Form

<header("Content-Type: text/html; charset=ISO-8859-9");></header>
<?php
$sehirler = array(
"merkez" =>"Merkez",
"Akkuþ" =>"Akkuþ",
"Aybastý" =>"Aybastý",
"Çamaþ" =>"Çamaþ",
"Çatalpýnar" =>"Çatalpýnar",
"Çaybaþý" =>"Çaybaþý",
"Fatsa" =>"Fatsa",
"Gölköy" =>"Gölköy",
"Gülyalý" =>"Gülyalý",
"Gürgentepe" =>"Gürgentepe",
"Ýkizce" =>"Ýkizce",
"Kabadüz" =>"Kabadüz",
"Kabataþ" =>"Kabataþ",
"Korgan" =>"Korgan",
"Kumru" =>"Kumru",
"Mesudiye" =>"Mesudiye",
"Perþembe" =>"Perþembe",
"Ulubey" =>"Ulubey",
"Ünye" =>"Ünye",
);
$semtler = array(
"Adalar" =>"Merkez",
"Avcýlar" =>"Akkuþ",
"Baðcýlar" =>"Aybastý",
"Bahçelievler" =>"Çamaþ",
"Bakýrköy" =>"Çatalpýnar",
"Bayrampaþa" =>"Çaybaþý",
"Beþiktaþ" =>"Fatsa",
"Beykoz" =>"Gölköy",
"Beyoðlu" =>"Gülyalý",
"Büyükçekmece" =>"Gürgentepe",
"Çatalca" =>"Ýkizce",
"Eminönü" =>"Kabadüz",
"Esenler" =>"Kabataþ",
"Eyüp" =>"Korgan",
"Fatih" =>"Kumru",
"Gaziosmanpaþa" =>"Mesudiye",
"Güngören" =>"Perþembe",
"Kadýköy" =>"Ulubey",
"Kaðýthane" =>"Ünye",
"Kartal" =>"Ýkizce",
"Küçükçekmece" =>"Kabadüz",
"Maltepe" =>"Kabataþ",
"Pendik" =>"Korgan",
"Sarýyer" =>"Kumru",
"Þile" =>"Mesudiye",
"Silivri" =>"Perþembe",
"Þiþli" =>"Ulubey",
"Sultanbeyli" =>"Ünye",
"Tuzla" =>"Ýkizce",
"Ümraniye" =>"Kabadüz",
"Üsküdar" =>"Kabataþ",
"Zeytinburnu" =>"Korgan",
);
$form = '<table style="border:1px solid"><tr>';
$form .= '<form name="form1" method="post" action="'.$_SERVER["PHP_SELF"].'">';
$form .= '<tr><td>TC Kimlik No:</td></tr><tr> <td><input type="text" name="tckimlik" /></td>';
$form .= '<tr><td>Ad:</td></tr><tr> <td><input type="text" name="ad" /></td>';
$form .= '<tr><td>SoyAd:</td></tr><tr> <td><input type="text" name="soyad" /></td>';
$form .= '<tr><td>Cinsiyet:</td></tr><tr><td><select name="cinsiyet" width="100%" style="width: 100%">';
$form .= '<option value="erkek">Erkek</option>';
$form .= '<option value="kadýn">Kadýn</option>';
$form .= '</select></td>';
$form .= '<tr><td>Memleket:</td></tr><tr> <td><select name="memleket" width="100%" style="width: 100%">';
foreach ($sehirler as $k => $v)
{
   $form .= '<option value="'.$k.'">'.ucfirst($k).'</option>';
}
$form .= '</select></td>';
$form .= '<tr><td>Yaþadýðý il:</td></tr><tr><td><select name="yasadigiil" width="100%" style="width: 100%">';
$form .= '<option value="anadolu">Ýstanbul Anadolu</option>';
$form .= '<option value="avrupa">Ýstanbul Avrupa</option>';
$form .= '</select></td>';
$form .= '<tr><td>Semt:</td></tr><tr> <td><select name="semtler" width="100%" style="width: 100%">';
foreach ($semtler as $k => $v)
{
   $form .= '<option value="'.$k.'">'.ucfirst($k).'</option>';
}
$form .= '</select></td>';
$form .= '<tr><td>Yaþadýðý mahalle:</td></tr><tr> <td><input type="text" name="yasadigimahalle" /></td>';
$form .= '<tr><td>Meslek:</td></tr><tr> <td><input type="text" name="meslek" /></td>';
$form .= '<tr><td>Ýþ Telefonu:</td></tr><tr> <td><input type="text" name="istel" /></td>';
$form .= '<tr><td>Cep Telefonu:</td></tr><tr> <td><input type="text" name="ceptel" /></td>';
$form .= '<tr><td>E-mail:</td></tr><tr> <td><input type="text" name="email" /></td>';
$form .= '<tr><td><input type="submit" style="width:100%;border:1px solid;" name="submit"></td></tr> </form>';
$form .= '</tr></table>';
echo $form;
if(isset($_POST['submit']))
{   if($_POST['tckimlik'] == "" || $_POST['ad'] == "" || $_POST['soyad'] == ""){
    echo '<td><div style="width:10.4%;border:1 solid #ccc;background-color:red;" name="submit"><center>Bos yerleri Doldur!</center></div></td>';
    }else{
    $veridb = "veritabani.php";
    $vericikti = fopen($veridb, "a");
if (!$vericikti) {
    print("Dosya acilamadi");
    exit;
}
$veri = '<table style="border:1px solid">';
$veri .='<tr><td><b>Tckimlik:</b></td><td>'.$_POST['tckimlik'].' | </td><td><b>Ad:</b></td><td>'.$_POST['ad'].' | </td><td><b>Soyad:</b></td><td>'.$_POST['soyad'].' | </td><td><b>Cinsiyet:</b></td><td>'.ucfirst($_POST['cinsiyet']).' | </td><td><b>Memleket:</b></td><td>'.ucfirst($_POST['memleket']).'</td></tr>';
$veri .='</table>';
fwrite($vericikti,$veri);
fclose($vericikti);
echo '<td><div style="width:10%;border:1 solid #ccc;background-color:lightgreen;" name="submit"><center>Baþarýlý!</center></div></td>';
}
}
?>