{"id":68,"date":"2018-01-18T08:22:31","date_gmt":"2018-01-18T05:22:31","guid":{"rendered":"http:\/\/kp.k12.tr\/lise\/aday-ogrenci\/aday-kayit\/"},"modified":"2026-07-17T16:00:28","modified_gmt":"2026-07-17T13:00:28","slug":"kesin-kayit-formu","status":"publish","type":"page","link":"https:\/\/kp.k12.tr\/lise\/aday-ogrenci\/kesin-kayit-formu\/","title":{"rendered":"Kesin Kay\u0131t Formu"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:60px;--awb-margin-bottom:60px;--awb-background-color:#fafafa;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1100px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column card-1\" style=\"--awb-padding-top:5%;--awb-padding-right:5%;--awb-padding-bottom:5%;--awb-padding-left:5%;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:24;line-height:1.2;\"><h3 style=\"text-align: center;\"><strong>SAINT-JOSEPH L\u0130SES\u0130 E\u011e\u0130T\u0130M VAKFI<\/strong><\/h3>\n<h3 style=\"text-align: center;\"><strong>\u00d6ZEL K\u00dc\u00c7\u00dcK PRENS L\u0130SES\u0130 KES\u0130N KAYIT FORMU<\/strong><\/h3>\n<h3 style=\"margin: 0in; font-family: Calibri; font-size: 11pt; text-align: center;\"><strong>2. Serbest Kay\u0131t D\u00f6nemi tamamlanm\u0131\u015ft\u0131r.\u00a0<\/strong><\/h3><\/h2><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:60px;--awb-margin-bottom:60px;--awb-background-color:#fafafa;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1100px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column card-1\" style=\"--awb-padding-top:5%;--awb-padding-right:5%;--awb-padding-bottom:5%;--awb-padding-left:5%;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:24;line-height:1.2;\"><h3 style=\"text-align: center;\"><strong>SAINT-JOSEPH L\u0130SES\u0130 E\u011e\u0130T\u0130M VAKFI<\/strong><\/h3>\n<h3 style=\"text-align: center;\"><strong>\u00d6ZEL K\u00dc\u00c7\u00dcK PRENS L\u0130SES\u0130 KES\u0130N KAYIT FORMU<\/strong><\/h3><\/h2><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><\/div><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-14021\"><form id=\"wpforms-form-14021\" class=\"wpforms-validate wpforms-form\" data-formid=\"14021\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/lise\/wp-json\/wp\/v2\/pages\/68\" data-token=\"5b7fb31cd8010ab8176e76eea786e397\"><noscript class=\"wpforms-error-noscript\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" data-page-2-title=\"Anne\" data-page-3-title=\"Baba\" data-page-4-title=\"Karde\u015fler\" data-page-5-title=\"Ailede Birlikte Ya\u015fan Di\u011fer Ki\u015filer\"><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 7<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:14.285714285714%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-14021-field_50-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"50\"><\/div><div id=\"wpforms-14021-field_245-container\" class=\"wpforms-field wpforms-field-html wpforms-two-fourths\" data-field-id=\"245\"><div id=\"wpforms-14021-field_245\"><\/div><\/div><div id=\"wpforms-14021-field_228-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"228\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_228\">Tarih <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14021-field_228\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][228][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-14021-field_21-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"21\"><h3 id=\"wpforms-14021-field_21\" name=\"wpforms[fields][21]\">\u00d6\u011frencinin<\/h3><\/div><div id=\"wpforms-14021-field_0-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_0\">Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_0\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_0-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_251-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"251\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_251\">TC Kimlik No <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_251\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input wpforms-limit-characters-enabled\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999999999\" data-form-id=\"14021\" data-field-id=\"251\" data-text-limit=\"11\" name=\"wpforms[fields][251]\" maxlength=\"11\" required><\/div><div id=\"wpforms-14021-field_6-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_6\">Geldi\u011fi Okul <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-14021-field_249-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"249\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_249\">S\u0131nav Puan\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_249\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"999,999\" name=\"wpforms[fields][249]\" placeholder=\"S\u0131nav puan\u0131n\u0131 XXX,XXX bi\u00e7iminde yaz\u0131n\u0131z.\" required><\/div><div id=\"wpforms-14021-field_42-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_42\">Do\u011fum Tarihi (G\u00fcn, Ay, Y\u0131l) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14021-field_42\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][42][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-14021-field_43-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-second\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_43\">Okula Ba\u015flama Tarihi <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14021-field_43\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][43][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-14021-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_11\">Do\u011fum Yeri <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_11\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-14021-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_12\">Bitirdi\u011fi S\u0131n\u0131f \/ \u015eube <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_12\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-14021-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-2-columns\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_13\">Cinsiyeti <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_13_1\" name=\"wpforms[fields][13]\" value=\"K\u0131z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_13_1\">K\u0131z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_13_2\" name=\"wpforms[fields][13]\" value=\"Erkek\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_13_2\">Erkek<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_14-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_14\">Okul No <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-14021-field_14\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-14021-field_15-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_15\">Anne Baba Ayr\u0131 M\u0131? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_15_1\" name=\"wpforms[fields][15]\" value=\"Evet\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_15_1\">Evet<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_15_2\" name=\"wpforms[fields][15]\" value=\"Hay\u0131r\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_15_2\">Hay\u0131r<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_16-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-second wpforms-list-2-columns\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_16\">Veli <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_16_1\" name=\"wpforms[fields][16]\" value=\"Anne\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_16_1\">Anne<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_16_2\" name=\"wpforms[fields][16]\" value=\"Baba\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_16_2\">Baba<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_18-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_18\">Evet ise kiminle ya\u015f\u0131yor?<\/label><ul id=\"wpforms-14021-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Anne\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_18_1\">Anne<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_18_2\" name=\"wpforms[fields][18][]\" value=\"Baba\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_18_2\">Baba<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_18_3\" name=\"wpforms[fields][18][]\" value=\"Anneanne\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_18_3\">Anneanne<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Babaanne\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_18_4\">Babaanne<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_18_5\" name=\"wpforms[fields][18][]\" value=\"Di\u011fer\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_18_5\">Di\u011fer<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_48-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"48\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_48\">Mahkeme karar\u0131 ile Velinin\/Vasinin kim oldu\u011fu?<\/label><ul id=\"wpforms-14021-field_48\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_48_1\" name=\"wpforms[fields][48]\" value=\"Anne\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_48_1\">Anne<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_48_2\" name=\"wpforms[fields][48]\" value=\"Baba\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_48_2\">Baba<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_48_3\" name=\"wpforms[fields][48]\" value=\"Di\u011fer\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_48_3\">Di\u011fer<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_20\">Ev Adresi \/ \u0130kametgah <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-14021-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/textarea><\/div><div id=\"wpforms-14021-field_49-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"49\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"14021\" disabled>\u0130leri<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-14021-field_22-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"22\"><h3 id=\"wpforms-14021-field_22\" name=\"wpforms[fields][22]\">Anne<\/h3><\/div><div id=\"wpforms-14021-field_23-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_23\">Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_23\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][23][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_23\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_23-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][23][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_23-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_24-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-second wpforms-list-2-columns\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_24\">Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_24_1\" name=\"wpforms[fields][24]\" value=\"Sa\u011f\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_24_1\">Sa\u011f<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_24_2\" name=\"wpforms[fields][24]\" value=\"\u00d6l\u00fc\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_24_2\">\u00d6l\u00fc<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-second wpforms-list-2-columns\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_25\">\u00d6z-\u00dcvey <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_25_1\" name=\"wpforms[fields][25]\" value=\"\u00d6z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_25_1\">\u00d6z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_25_2\" name=\"wpforms[fields][25]\" value=\"\u00dcvey\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_25_2\">\u00dcvey<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_26-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_26\">TC Kimlik No <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-14021-field_26\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/div><div id=\"wpforms-14021-field_27-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-second\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_27\">E-Posta <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-14021-field_27\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][27]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-14021-field_30-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_30\">E\u011fitim Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_30\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-14021-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_29\">Mesle\u011fi <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_29\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-14021-field_31-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_31\">Son Mezun Oldu\u011fu Okul <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_31\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-14021-field_172-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"172\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_172\">G\u00f6revi<\/label><input type=\"text\" id=\"wpforms-14021-field_172\" class=\"wpforms-field-large\" name=\"wpforms[fields][172]\" ><\/div><div id=\"wpforms-14021-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_32\">Bildi\u011fi Yabanc\u0131 Diller<\/label><input type=\"text\" id=\"wpforms-14021-field_32\" class=\"wpforms-field-large\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-14021-field_33-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_33\">Ev Adresi \/ \u0130kametgah (\u00d6\u011frenci ile ayn\u0131 ev adresini \/ ikametgah\u0131 kullan\u0131yorsa doldurulmayacak.)<\/label><textarea id=\"wpforms-14021-field_33\" class=\"wpforms-field-large\" name=\"wpforms[fields][33]\" ><\/textarea><\/div><div id=\"wpforms-14021-field_34-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_34\">Ev Telefonu<\/label><input type=\"tel\" id=\"wpforms-14021-field_34\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][34]\" ><\/div><div id=\"wpforms-14021-field_35-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-second\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_35\">Cep Telefonu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-14021-field_35\" class=\"wpforms-field-large wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][35]\" required><\/div><div id=\"wpforms-14021-field_39-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_39\">\u00c7al\u0131\u015ft\u0131\u011f\u0131 \u0130\u015fyeri Ad\u0131 \/ Unvan\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_39\" class=\"wpforms-field-large\" name=\"wpforms[fields][39]\" ><\/div><div id=\"wpforms-14021-field_40-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half wpforms-second\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_40\">\u00c7al\u0131\u015ft\u0131\u011f\u0131 \u0130\u015fyeri Adresi<\/label><textarea id=\"wpforms-14021-field_40\" class=\"wpforms-field-large\" name=\"wpforms[fields][40]\" ><\/textarea><\/div><div id=\"wpforms-14021-field_173-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"173\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_173\">\u0130\u015f Telefonu<\/label><input type=\"tel\" id=\"wpforms-14021-field_173\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][173]\" ><\/div><div id=\"wpforms-14021-field_52-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"52\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"14021\" disabled>Geri<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"14021\" disabled>\u0130leri<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-14021-field_54-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"54\"><h3 id=\"wpforms-14021-field_54\" name=\"wpforms[fields][54]\">Baba<\/h3><\/div><div id=\"wpforms-14021-field_53-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_53\">Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_53\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][53][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_53\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_53-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][53][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_53-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_55-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_55\">Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_55\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_55_1\" name=\"wpforms[fields][55]\" value=\"Sa\u011f\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_55_1\">Sa\u011f<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_55_2\" name=\"wpforms[fields][55]\" value=\"\u00d6l\u00fc\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_55_2\">\u00d6l\u00fc<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_56\">\u00d6z-\u00dcvey <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_56_1\" name=\"wpforms[fields][56]\" value=\"\u00d6z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_56_1\">\u00d6z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_56_2\" name=\"wpforms[fields][56]\" value=\"\u00dcvey\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_56_2\">\u00dcvey<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_57-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_57\">TC Kimlik No <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-14021-field_57\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][57]\" required><\/div><div id=\"wpforms-14021-field_58-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_58\">E-Posta <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-14021-field_58\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][58]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-14021-field_61-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_61\">E\u011fitim Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_61\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][61]\" required><\/div><div id=\"wpforms-14021-field_60-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_60\">Mesle\u011fi <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_60\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][60]\" required><\/div><div id=\"wpforms-14021-field_62-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_62\">Son Mezun Oldu\u011fu Okul <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_62\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][62]\" required><\/div><div id=\"wpforms-14021-field_175-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"175\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_175\">G\u00f6revi<\/label><input type=\"text\" id=\"wpforms-14021-field_175\" class=\"wpforms-field-large\" name=\"wpforms[fields][175]\" ><\/div><div id=\"wpforms-14021-field_63-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_63\">Bildi\u011fi Yabanc\u0131 Diller<\/label><input type=\"text\" id=\"wpforms-14021-field_63\" class=\"wpforms-field-large\" name=\"wpforms[fields][63]\" ><\/div><div id=\"wpforms-14021-field_64-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_64\">Ev Adresi \/ \u0130kametgah (\u00d6\u011frenci ile ayn\u0131 ev adresini \/ ikametgah\u0131 kullan\u0131yorsa doldurulmayacak.)<\/label><textarea id=\"wpforms-14021-field_64\" class=\"wpforms-field-large\" name=\"wpforms[fields][64]\" ><\/textarea><\/div><div id=\"wpforms-14021-field_65-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"65\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_65\">Ev Telefonu<\/label><input type=\"tel\" id=\"wpforms-14021-field_65\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][65]\" ><\/div><div id=\"wpforms-14021-field_66-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-second\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_66\">Cep Telefonu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-14021-field_66\" class=\"wpforms-field-large wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][66]\" required><\/div><div id=\"wpforms-14021-field_67-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_67\">\u00c7al\u0131\u015ft\u0131\u011f\u0131 \u0130\u015fyeri Ad\u0131 \/ Unvan\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_67\" class=\"wpforms-field-large\" name=\"wpforms[fields][67]\" ><\/div><div id=\"wpforms-14021-field_68-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half wpforms-second\" data-field-id=\"68\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_68\">\u00c7al\u0131\u015ft\u0131\u011f\u0131 \u0130\u015fyeri Adresi<\/label><textarea id=\"wpforms-14021-field_68\" class=\"wpforms-field-large\" name=\"wpforms[fields][68]\" ><\/textarea><\/div><div id=\"wpforms-14021-field_177-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"177\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_177\">\u0130\u015f Telefonu<\/label><input type=\"tel\" id=\"wpforms-14021-field_177\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][177]\" ><\/div><div id=\"wpforms-14021-field_71-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"71\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"3\" data-formid=\"14021\" disabled>Geri<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"14021\" disabled>\u0130leri<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-14021-field_72-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"72\"><h3 id=\"wpforms-14021-field_72\" name=\"wpforms[fields][72]\">Karde\u015fler<\/h3><\/div><div id=\"wpforms-14021-field_95-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"95\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_95\">Karde\u015f Say\u0131s\u0131<\/label><select id=\"wpforms-14021-field_95\" class=\"wpforms-field-medium\" name=\"wpforms[fields][95]\"><option value=\"0\" >0<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3 veya 3+\" >3 veya 3+<\/option><\/select><\/div><div id=\"wpforms-14021-field_74-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"74\"><h3 id=\"wpforms-14021-field_74\" name=\"wpforms[fields][74]\">1. Karde\u015f<\/h3><\/div><div id=\"wpforms-14021-field_76-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_76\">Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_76\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][76][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_76\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_76-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][76][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_76-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_77-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_77\">Do\u011fum Tarihi <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14021-field_77\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][77][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-14021-field_78-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_78\">Cinsiyet <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_78\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_78_1\" name=\"wpforms[fields][78]\" value=\"K\u0131z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_78_1\">K\u0131z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_78_2\" name=\"wpforms[fields][78]\" value=\"Erkek\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_78_2\">Erkek<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_79-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_79\">\u00d6z - \u00dcvey <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_79\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_79_1\" name=\"wpforms[fields][79]\" value=\"\u00d6z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_79_1\">\u00d6z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_79_2\" name=\"wpforms[fields][79]\" value=\"\u00dcvey\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_79_2\">\u00dcvey<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_80-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"80\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_80\">Beraber - Ayr\u0131 Ya\u015f\u0131yor <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_80\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_80_1\" name=\"wpforms[fields][80]\" value=\"Beraber\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_80_1\">Beraber<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_80_2\" name=\"wpforms[fields][80]\" value=\"Ayr\u0131 ya\u015f\u0131yor\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_80_2\">Ayr\u0131 ya\u015f\u0131yor<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_81-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"81\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_81\">\u00d6\u011frenim Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_81\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][81]\" required><\/div><div id=\"wpforms-14021-field_82-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_82\">Okula Devam Ediyorsa Okulun Ad\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_82\" class=\"wpforms-field-large\" name=\"wpforms[fields][82]\" ><\/div><div id=\"wpforms-14021-field_83-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"83\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_83\">Okula Devam Ediyorsa S\u0131n\u0131f\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_83\" class=\"wpforms-field-large\" name=\"wpforms[fields][83]\" ><\/div><div id=\"wpforms-14021-field_85-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"85\"><h3 id=\"wpforms-14021-field_85\" name=\"wpforms[fields][85]\">2. Karde\u015f<\/h3><\/div><div id=\"wpforms-14021-field_86-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"86\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_86\">Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_86\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][86][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_86\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_86-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][86][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_86-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_87-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"87\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_87\">Do\u011fum Tarihi <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14021-field_87\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][87][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-14021-field_88-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"88\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_88\">Cinsiyet <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_88\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_88_1\" name=\"wpforms[fields][88]\" value=\"K\u0131z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_88_1\">K\u0131z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_88_2\" name=\"wpforms[fields][88]\" value=\"Erkek\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_88_2\">Erkek<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_89-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"89\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_89\">\u00d6z - \u00dcvey <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_89\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_89_1\" name=\"wpforms[fields][89]\" value=\"\u00d6z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_89_1\">\u00d6z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_89_2\" name=\"wpforms[fields][89]\" value=\"\u00dcvey\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_89_2\">\u00dcvey<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_90-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"90\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_90\">Beraber - Ayr\u0131 Ya\u015f\u0131yor <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_90\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_90_1\" name=\"wpforms[fields][90]\" value=\"Beraber\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_90_1\">Beraber<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_90_2\" name=\"wpforms[fields][90]\" value=\"Ayr\u0131 ya\u015f\u0131yor\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_90_2\">Ayr\u0131 ya\u015f\u0131yor<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_91-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"91\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_91\">\u00d6\u011frenim Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_91\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][91]\" required><\/div><div id=\"wpforms-14021-field_92-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"92\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_92\">Okula Devam Ediyorsa Okulun Ad\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_92\" class=\"wpforms-field-large\" name=\"wpforms[fields][92]\" ><\/div><div id=\"wpforms-14021-field_93-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"93\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_93\">Okula Devam Ediyorsa S\u0131n\u0131f\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_93\" class=\"wpforms-field-large\" name=\"wpforms[fields][93]\" ><\/div><div id=\"wpforms-14021-field_96-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"96\"><h3 id=\"wpforms-14021-field_96\" name=\"wpforms[fields][96]\">3. Karde\u015f<\/h3><\/div><div id=\"wpforms-14021-field_97-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"97\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_97\">Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_97\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][97][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_97\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_97-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][97][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_97-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_98-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"98\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_98\">Do\u011fum Tarihi <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-14021-field_98\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][98][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-14021-field_99-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"99\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_99\">Cinsiyet <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_99\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_99_1\" name=\"wpforms[fields][99]\" value=\"K\u0131z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_99_1\">K\u0131z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_99_2\" name=\"wpforms[fields][99]\" value=\"Erkek\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_99_2\">Erkek<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_100-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"100\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_100\">\u00d6z - \u00dcvey <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_100\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_100_1\" name=\"wpforms[fields][100]\" value=\"\u00d6z\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_100_1\">\u00d6z<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_100_2\" name=\"wpforms[fields][100]\" value=\"\u00dcvey\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_100_2\">\u00dcvey<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_101-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"101\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_101\">Beraber - Ayr\u0131 Ya\u015f\u0131yor <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_101\" class=\"wpforms-randomize wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_101_1\" name=\"wpforms[fields][101]\" value=\"Beraber\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_101_1\">Beraber<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_101_2\" name=\"wpforms[fields][101]\" value=\"Ayr\u0131 ya\u015f\u0131yor\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_101_2\">Ayr\u0131 ya\u015f\u0131yor<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_102-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"102\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_102\">\u00d6\u011frenim Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_102\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][102]\" required><\/div><div id=\"wpforms-14021-field_103-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"103\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_103\">Okula Devam Ediyorsa Okulun Ad\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_103\" class=\"wpforms-field-large\" name=\"wpforms[fields][103]\" ><\/div><div id=\"wpforms-14021-field_104-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"104\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_104\">Okula Devam Ediyorsa S\u0131n\u0131f\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_104\" class=\"wpforms-field-large\" name=\"wpforms[fields][104]\" ><\/div><div id=\"wpforms-14021-field_106-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"106\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"4\" data-formid=\"14021\" disabled>Geri<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"14021\" disabled>\u0130leri<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-14021-field_107-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"107\"><h3 id=\"wpforms-14021-field_107\" name=\"wpforms[fields][107]\">Veli \/ Vasi (Mahkeme karar\u0131 ile veli\/vasi ki\u015fisi taraf\u0131ndan doldurulacakt\u0131r.)<\/h3><\/div><div id=\"wpforms-14021-field_111-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"111\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_111\">Ad\u0131 Soyad\u0131<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_111\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][111][first]\" placeholder=\"Ad\u0131\" ><label for=\"wpforms-14021-field_111\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_111-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][111][last]\" placeholder=\"Soyad\u0131\" ><label for=\"wpforms-14021-field_111-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_112-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"112\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_112\">Yak\u0131nl\u0131kl\u0131\u011f\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_112\" class=\"wpforms-field-large\" name=\"wpforms[fields][112]\" ><\/div><div id=\"wpforms-14021-field_219-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"219\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_219\">TC Kimlik No<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-14021-field_219\" class=\"wpforms-field-large\" name=\"wpforms[fields][219]\" ><\/div><div id=\"wpforms-14021-field_119-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-second\" data-field-id=\"119\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_119\">E-posta<\/label><input type=\"email\" id=\"wpforms-14021-field_119\" class=\"wpforms-field-large\" name=\"wpforms[fields][119]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-14021-field_113-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"113\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_113\">E\u011fitim Durumu<\/label><input type=\"text\" id=\"wpforms-14021-field_113\" class=\"wpforms-field-large\" name=\"wpforms[fields][113]\" ><\/div><div id=\"wpforms-14021-field_221-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"221\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_221\">Mesle\u011fi<\/label><input type=\"text\" id=\"wpforms-14021-field_221\" class=\"wpforms-field-large\" name=\"wpforms[fields][221]\" ><\/div><div id=\"wpforms-14021-field_220-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"220\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_220\">Son Mezun Oldu\u011fu Okul<\/label><input type=\"text\" id=\"wpforms-14021-field_220\" class=\"wpforms-field-large\" name=\"wpforms[fields][220]\" ><\/div><div id=\"wpforms-14021-field_223-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"223\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_223\">G\u00f6revi<\/label><input type=\"text\" id=\"wpforms-14021-field_223\" class=\"wpforms-field-large\" name=\"wpforms[fields][223]\" ><\/div><div id=\"wpforms-14021-field_114-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"114\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_114\">Bildi\u011fi Yabanc\u0131 Diller<\/label><input type=\"text\" id=\"wpforms-14021-field_114\" class=\"wpforms-field-large\" name=\"wpforms[fields][114]\" ><\/div><div id=\"wpforms-14021-field_222-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"222\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_222\">Ev Adresi \/ \u0130kametgah (\u00d6\u011frenci ile ayn\u0131 ev adresini \/ ikametgah\u0131 kullan\u0131yorsa doldurulmayacak.)<\/label><textarea id=\"wpforms-14021-field_222\" class=\"wpforms-field-medium\" name=\"wpforms[fields][222]\" ><\/textarea><\/div><div id=\"wpforms-14021-field_116-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"116\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_116\">Ev Telefonu<\/label><input type=\"text\" id=\"wpforms-14021-field_116\" class=\"wpforms-field-large\" name=\"wpforms[fields][116]\" ><\/div><div id=\"wpforms-14021-field_118-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"118\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_118\">Cep Telefonu<\/label><input type=\"text\" id=\"wpforms-14021-field_118\" class=\"wpforms-field-large\" name=\"wpforms[fields][118]\" ><\/div><div id=\"wpforms-14021-field_115-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"115\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_115\">\u00c7al\u0131\u015ft\u0131\u011f\u0131 \u0130\u015fyeri Ad\u0131 \/ Unvan\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_115\" class=\"wpforms-field-large\" name=\"wpforms[fields][115]\" ><\/div><div id=\"wpforms-14021-field_224-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half wpforms-second\" data-field-id=\"224\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_224\">\u00c7al\u0131\u015ft\u0131\u011f\u0131 \u0130\u015fyeri Adresi<\/label><textarea id=\"wpforms-14021-field_224\" class=\"wpforms-field-medium\" name=\"wpforms[fields][224]\" ><\/textarea><\/div><div id=\"wpforms-14021-field_117-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"117\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_117\">\u0130\u015f Telefonu<\/label><input type=\"text\" id=\"wpforms-14021-field_117\" class=\"wpforms-field-large\" name=\"wpforms[fields][117]\" ><\/div><div id=\"wpforms-14021-field_225-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"225\"><div id=\"wpforms-14021-field_225\"><br>Not: Veli\/Vasi ve bilgi i\u00e7eri\u011fi de\u011fi\u015fikli\u011fi yap\u0131ld\u0131\u011f\u0131 takdirde, Mill\u00ee E\u011fitim Bakanl\u0131\u011f\u0131 e-okul uygulamas\u0131 ve \u00d6zel K\u00fc\u00e7\u00fck Prens Okullar\u0131 taraf\u0131ndan takibinin yap\u0131labilmesi ve bilgilerinin g\u00fcncelli\u011finin sa\u011flanabilmesi amac\u0131yla bu de\u011fi\u015fikli\u011fi en k\u0131sa s\u00fcrede Okul M\u00fcd\u00fcrl\u00fc\u011f\u00fcne bildiriniz.<\/b><\/div><\/div><div id=\"wpforms-14021-field_226-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"226\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14021-field_226\">Do\u011fruluk Beyan\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_226\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_226_1\" name=\"wpforms[fields][226][]\" value=\"\u201c\u00d6\u011frenci Kay\u0131t Formu\u201dnu okuyarak doldurdum, beyan etti\u011fim bilgilerin do\u011fru oldu\u011funu taahh\u00fct ederim.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_226_1\">\u201c\u00d6\u011frenci Kay\u0131t Formu\u201dnu okuyarak doldurdum, beyan etti\u011fim bilgilerin do\u011fru oldu\u011funu taahh\u00fct ederim.<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_136-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"136\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"5\" data-formid=\"14021\" disabled>Geri<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"5\" data-formid=\"14021\" disabled>\u0130leri<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6  \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-14021-field_137-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"137\"><h3 id=\"wpforms-14021-field_137\" name=\"wpforms[fields][137]\">\u00d6\u011frenci Sa\u011fl\u0131k Durumu Bildirim Formu<\/h3><\/div><div id=\"wpforms-14021-field_231-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"231\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_231\">E\u011fitim \u00d6\u011fretim D\u00f6nemi <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_231\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_231_1\" name=\"wpforms[fields][231]\" value=\"2026-2027\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_231_1\">2026-2027<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_232-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"232\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_232\">\u00d6\u011frencinin Ad\u0131 Soyad\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_232\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][232][first]\" placeholder=\"Ad\u0131\" required><label for=\"wpforms-14021-field_232\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-14021-field_232-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][232][last]\" placeholder=\"Soyad\u0131\" required><label for=\"wpforms-14021-field_232-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-14021-field_233-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-second\" data-field-id=\"233\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_233\">S\u0131n\u0131f\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14021-field_233\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][233]\" required><\/div><div id=\"wpforms-14021-field_235-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-second wpforms-field-select-style-classic\" data-field-id=\"235\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_235\">Kan Gubu <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-14021-field_235\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][235]\" required=\"required\"><option value=\"0 Rh+\" >0 Rh+<\/option><option value=\"0 Rh-\" >0 Rh-<\/option><option value=\"AB Rh+\" >AB Rh+<\/option><option value=\"AB Rh-\" >AB Rh-<\/option><option value=\"A Rh+\" >A Rh+<\/option><option value=\"A Rh-\" >A Rh-<\/option><option value=\"B Rh+\" >B Rh+<\/option><option value=\"B Rh-\" >B Rh-<\/option><\/select><\/div><div id=\"wpforms-14021-field_138-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"138\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_138\">Okul M\u00fcd\u00fcrl\u00fc\u011f\u00fc ve Okul Hem\u015firesi taraf\u0131ndan bilinmesi gereken \u00d6zel Sa\u011fl\u0131k Durumu <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-14021-field_138\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][138]\" required><\/textarea><\/div><div id=\"wpforms-14021-field_139-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"139\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_139\">Ge\u00e7irdi\u011fi ameliyatlar<\/label><input type=\"text\" id=\"wpforms-14021-field_139\" class=\"wpforms-field-large\" name=\"wpforms[fields][139]\" ><\/div><div id=\"wpforms-14021-field_140-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"140\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_140\">Ge\u00e7irdi\u011fi \u00f6nemli hastal\u0131klar<\/label><input type=\"text\" id=\"wpforms-14021-field_140\" class=\"wpforms-field-large\" name=\"wpforms[fields][140]\" ><\/div><div id=\"wpforms-14021-field_141-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"141\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_141\">Halen devam eden hastal\u0131klar\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_141\" class=\"wpforms-field-large\" name=\"wpforms[fields][141]\" ><\/div><div id=\"wpforms-14021-field_142-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"142\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_142\">S\u00fcrekli kullanmas\u0131 gereken ila\u00e7lar\u0131<\/label><input type=\"text\" id=\"wpforms-14021-field_142\" class=\"wpforms-field-large\" name=\"wpforms[fields][142]\" ><\/div><div id=\"wpforms-14021-field_143-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"143\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_143\">S\u0131kl\u0131kla kullanm\u0131\u015f oldu\u011fu basit ila\u00e7lar<\/label><input type=\"text\" id=\"wpforms-14021-field_143\" class=\"wpforms-field-large\" name=\"wpforms[fields][143]\" ><\/div><div id=\"wpforms-14021-field_144-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"144\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_144\">Alerji durumu<\/label><input type=\"text\" id=\"wpforms-14021-field_144\" class=\"wpforms-field-large\" name=\"wpforms[fields][144]\" ><\/div><div id=\"wpforms-14021-field_146-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"146\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_146\">Alerjik oldu\u011fu ila\u00e7lar<\/label><input type=\"text\" id=\"wpforms-14021-field_146\" class=\"wpforms-field-large\" name=\"wpforms[fields][146]\" ><\/div><div id=\"wpforms-14021-field_145-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"145\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_145\">Alerjik oldu\u011fu g\u0131dalar<\/label><input type=\"text\" id=\"wpforms-14021-field_145\" class=\"wpforms-field-large\" name=\"wpforms[fields][145]\" ><\/div><div id=\"wpforms-14021-field_148-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"148\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_148\">Di\u011fer sa\u011fl\u0131k bilgileri<\/label><input type=\"text\" id=\"wpforms-14021-field_148\" class=\"wpforms-field-large\" name=\"wpforms[fields][148]\" ><\/div><div id=\"wpforms-14021-field_149-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"149\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_149\">Yap\u0131lm\u0131\u015f olan a\u015f\u0131lar\u0131: (\u00d6\u011frencinin her t\u00fcrl\u00fc a\u015f\u0131s\u0131n\u0131n velisi taraf\u0131ndan yapt\u0131r\u0131lmas\u0131 esast\u0131r.)<\/label><ul id=\"wpforms-14021-field_149\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_149_1\" name=\"wpforms[fields][149][]\" value=\"BCG\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_149_1\">BCG<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_149_2\" name=\"wpforms[fields][149][]\" value=\"BDT (Bo\u011fmaca, difteri, tetanoz)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_149_2\">BDT (Bo\u011fmaca, difteri, tetanoz)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_149_3\" name=\"wpforms[fields][149][]\" value=\"MMR (K\u0131zam\u0131k, k\u0131zam\u0131kc\u0131k, kabakulak)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_149_3\">MMR (K\u0131zam\u0131k, k\u0131zam\u0131kc\u0131k, kabakulak)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_149_4\" name=\"wpforms[fields][149][]\" value=\"Polio\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_149_4\">Polio<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_149_5\" name=\"wpforms[fields][149][]\" value=\"Hepatit B\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_149_5\">Hepatit B<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_152-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"152\"><div id=\"wpforms-14021-field_152\"><br>Not: Bilgi i\u00e7eri\u011fi de\u011fi\u015fikli\u011fi yap\u0131ld\u0131\u011f\u0131 takdirde, Mill\u00ee E\u011fitim Bakanl\u0131\u011f\u0131 e-okul uygulamas\u0131 ve \u00d6zel K\u00fc\u00e7\u00fck Prens Okullar\u0131 taraf\u0131ndan takibinin yap\u0131labilmesi ve bilgilerinin g\u00fcncelli\u011finin sa\u011flanabilmesi amac\u0131yla bu de\u011fi\u015fikli\u011fi en k\u0131sa s\u00fcrede Okul M\u00fcd\u00fcrl\u00fc\u011f\u00fcne bildiriniz.<\/br><\/div><\/div><div id=\"wpforms-14021-field_227-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"227\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14021-field_227\">\u00d6\u011frenci Sa\u011fl\u0131k Durumu Bildirim Formu <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_227\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_227_1\" name=\"wpforms[fields][227][]\" value=\"\u201c\u00d6\u011frenci Sa\u011fl\u0131k Durumu Bildirim Formu\u201dnu okuyarak doldurdum, beyan etti\u011fim bilgilerin do\u011fru oldu\u011funu taahh\u00fct ederim.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_227_1\">\u201c\u00d6\u011frenci Sa\u011fl\u0131k Durumu Bildirim Formu\u201dnu okuyarak doldurdum, beyan etti\u011fim bilgilerin do\u011fru oldu\u011funu taahh\u00fct ederim.<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_160-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"160\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"6\" data-formid=\"14021\" disabled>Geri<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"6\" data-formid=\"14021\" disabled>\u0130leri<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7 last \" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-14021-field_161-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"161\"><div id=\"wpforms-14021-field_161\"><strong><h2 style=\"font-weight:700\">\u00d6ZEL K\u00dc\u00c7\u00dcK PRENS OKULLARI VEL\u0130 B\u0130LG\u0130LEND\u0130RME NOTU<\/h2><\/strong><\/br>\r\n<\/br>\r\n<strong>Konu:<\/strong> Okulda Revir Uygulamalar\u0131m\u0131z ve Okulda \u0130la\u00e7 Verilmesi Hakk\u0131nda.\r\n<\/br><\/br>\r\n<strong>De\u011ferli Velilerimiz;<\/strong>\r\n<ul>\r\n \t<li>\u00d6\u011frencinin sa\u011fl\u0131\u011f\u0131 konusunda da titiz davranan sayg\u0131n <strong>bir e\u011fitim ve \u00f6\u011fretim kurumu olan okullar\u0131m\u0131zda<\/strong> acil t\u0131bbi ilk yard\u0131m merkezleri olarak, bir doktor ve \u00fc\u00e7 hem\u015firenin g\u00f6rev yapt\u0131\u011f\u0131 \u00fc\u00e7 tane revir bulunmaktad\u0131r. Revirde, <strong>okulda iken meydana gelen<\/strong> k\u00fc\u00e7\u00fck s\u0131yr\u0131k, \u00e7izik, kesi, \u00e7arpma, d\u00fc\u015fme, yaralanma, burkulma, k\u0131r\u0131k, yan\u0131k gibi durumlarda acil t\u0131bbi <strong>ilk yard\u0131m<\/strong> yap\u0131lmakta, <strong>okulda iken ba\u015flayan<\/strong> a\u011fr\u0131, ate\u015f, nefes darl\u0131\u011f\u0131, \u00e7arp\u0131nt\u0131, bay\u0131lma, alerjik reaksiyon, k\u0131zar\u0131kl\u0131k, ka\u015f\u0131nt\u0131, bulant\u0131, kusma, ishal, ar\u0131 sokmas\u0131, zehirlenme, kanama gibi yak\u0131nma ve hastal\u0131k belirtileri takip edilmekte, gerekti\u011finde velisine haber verilerek ilgili bran\u015f doktoruna g\u00f6t\u00fcr\u00fclmesi \u00f6nerilmektedir.<\/li>\r\n \t<li>Okul revirlerimiz imk\u00e2nlar\u0131 s\u0131n\u0131rl\u0131 olan ilk yard\u0131m merkezleridir. \u00c7ocuk hastal\u0131klar\u0131n\u0131n tan\u0131 ve tedavisinin yap\u0131ld\u0131\u011f\u0131, sa\u011fl\u0131k bakanl\u0131\u011f\u0131na ba\u011fl\u0131 tam te\u015fekk\u00fcll\u00fc sa\u011fl\u0131k kurulu\u015flar\u0131 olmad\u0131\u011f\u0131ndan, <strong>okullar\u0131m\u0131zda \u00f6\u011frenci hastal\u0131klar\u0131n\u0131n muayene, te\u015fhis ve tedavileri yap\u0131lamamaktad\u0131r.<\/strong><\/li>\r\n \t<li>Hastal\u0131klara tan\u0131 koymak ve tedavisine karar vermek bu konuda e\u011fitim alm\u0131\u015f olan doktorlar\u0131n g\u00f6revidir. <strong>Kime, ne zaman, hangi ilac\u0131n (kimyasal maddenin) verilece\u011fine yasal olarak yetkili ve sorumlu olan doktor karar verir.<\/strong> Denenip, bilinmedik\u00e7e, ki\u015fisel duyarl\u0131l\u0131k sadece muayene edilerek, hatta baz\u0131 tahliller yap\u0131larak \u00f6nceden saptanamayabilir. <strong>Bazen doktorun uygun bulup verdi\u011fi ila\u00e7lar dahi alerji yapabilmektedir.<\/strong><\/li>\r\n \t<li><strong>\u0130lac\u0131n sorumlulu\u011fu ilac\u0131 i\u00e7irene aittir.<\/strong><\/li>\r\n \t<li>T\u0131p mensubu olmayan, hastal\u0131\u011f\u0131 ila\u00e7la tedavi etmeye yetkili olmayan <strong>bir \u00f6\u011frenci velisinin, s\u0131n\u0131rl\u0131 t\u0131p bilgisi ve deneyimi ile doktorun g\u00f6revini \u00fcstlenmesini;<\/strong><\/li>\r\n \t<li>Yasal haklara sahip \u00f6zg\u00fcr bir birey olan \u00e7ocu\u011funun sa\u011fl\u0131\u011f\u0131na m\u00fcdahale ederek, tan\u0131 koyup, ona ila\u00e7 vermesini; o andaki muayene bulgular\u0131n\u0131 bilmeden telefonla \u00e7ocu\u011funa verilecek ilac\u0131 bildirmesini <strong>sak\u0131ncal\u0131 bulmaktay\u0131z.<\/strong><\/li>\r\n \t<li>\u00c7ocu\u011fa zarar verebilecek bu tip uygulamalar\u0131n sonu\u00e7lar\u0131ndan kendileri sorumlu olur.<\/li>\r\n<\/ul>\r\n\u00d6\u011frenci sa\u011fl\u0131\u011f\u0131na olan hassasiyetimizle, <strong>olu\u015fabilecek yan etki, alerji gibi sak\u0131ncalar\u0131 da g\u00f6z \u00f6n\u00fcne alarak; okul doktorunun acil talimat\u0131 ve \u00f6\u011frenci velisinin yaz\u0131l\u0131 onay\u0131 olmad\u0131k\u00e7a,<\/strong> okulda \u00f6\u011frenciye <strong>re\u00e7etesiz olarak hi\u00e7bir ila\u00e7<\/strong> verilmemektedir. (Veli doktor oldu\u011funda da yaz\u0131l\u0131 onay\u0131 istenilmektedir.)<\/div><\/div><div id=\"wpforms-14021-field_162-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"162\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_162\">Okulda hi\u00e7bir gerek\u00e7e ile \u00e7ocu\u011fuma ila\u00e7 verilmesini <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_162\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_162_1\" name=\"wpforms[fields][162]\" value=\"\u0130stemiyorum\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_162_1\">\u0130stemiyorum<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_162_2\" name=\"wpforms[fields][162]\" value=\"Gerekti\u011finde velisine dan\u0131\u015f\u0131l\u0131p ve yaz\u0131l\u0131 onay\u0131 al\u0131narak verilebilir\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_162_2\">Gerekti\u011finde velisine dan\u0131\u015f\u0131l\u0131p ve yaz\u0131l\u0131 onay\u0131 al\u0131narak verilebilir<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-14021-field_162_3\" name=\"wpforms[fields][162]\" value=\"Evvelce kendisinde kullan\u0131p, hi\u00e7bir yan etkisini g\u00f6rmedi\u011fim, gerekti\u011finde (Velisi olarak yaz\u0131l\u0131 onay\u0131mla ve t\u00fcm sorumlulu\u011fu bana ait olmak \u00fczere) okulda \u00e7ocu\u011fuma verilebilecek olan basit ila\u00e7lar:\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_162_3\">Evvelce kendisinde kullan\u0131p, hi\u00e7bir yan etkisini g\u00f6rmedi\u011fim, gerekti\u011finde (Velisi olarak yaz\u0131l\u0131 onay\u0131mla ve t\u00fcm sorumlulu\u011fu bana ait olmak \u00fczere) okulda \u00e7ocu\u011fuma verilebilecek olan basit ila\u00e7lar:<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_164-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"164\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_164\">(Bunun sonu\u00e7lar\u0131ndan okulu sorumlu tutmayaca\u011f\u0131m, okul hakk\u0131nda yasal i\u015flemde bulunmayaca\u011f\u0131m.) <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-14021-field_164\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][164]\" required><\/textarea><\/div><div id=\"wpforms-14021-field_163-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"163\"><div id=\"wpforms-14021-field_163\"><strong>\u00d6nemli Not:<\/strong> \u00c7ocuklarda metabolizma h\u0131zl\u0131d\u0131r. Yan etkiler ve alerjiler daha erken ba\u015flar, daha h\u0131zl\u0131 ilerler. <strong>Evvelce hi\u00e7bir yan etkisi g\u00f6r\u00fclmemi\u015f olan bir ilaca kar\u015f\u0131 <u>sonradan<\/u> alerji geli\u015febilir ve bu alerji daha \u015fiddetli de olabilir. Bir alerjik reaksiyon ba\u015flad\u0131\u011f\u0131nda genellikle ilerler, ciddi hayati tehlike bile yaratabilir.<\/strong>\u00c7ok erken m\u00fcdahale etmek gerekir ancak okulda bu hemen m\u00fcmk\u00fcn olamayabilir.<\/div><\/div><div id=\"wpforms-14021-field_165-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"165\"><div id=\"wpforms-14021-field_165\"><strong>Okullar\u0131m\u0131zda, \u00f6\u011frencinin tedavisinin aksamamas\u0131 i\u00e7in,<\/strong>\r\n<br>\r\n<strong>Sadece \u00f6\u011frenciyi muayene eden yetkili doktorun yazd\u0131\u011f\u0131 yeni tarihli, ka\u015fe ve imzal\u0131 re\u00e7etesi ile birlikte<\/strong> yan\u0131nda getirdi\u011fi antibiyotik gibi saate ba\u011f\u0131ml\u0131 \u00f6nemli ila\u00e7lar\u0131 veya kronik hastal\u0131\u011f\u0131 i\u00e7in devaml\u0131 olarak kulland\u0131\u011f\u0131 ila\u00e7lar verilmektedir.\r\n<br><br>\r\n<ul>\r\n \t<li>\u00d6\u011frencinin sa\u011fl\u0131\u011f\u0131n\u0131n velisi taraf\u0131ndan korunmas\u0131,<\/li>\r\n \t<li>Hastaland\u0131\u011f\u0131nda zaman\u0131nda doktora g\u00f6t\u00fcr\u00fclerek tedavisine ba\u015flanmas\u0131,<\/li>\r\n \t<li>Hasta \u00f6\u011frencinin hasta haliyle okula g\u00f6nderilmemesi,<\/li>\r\n \t<li>\u0130la\u00e7lar\u0131n\u0131n evde verilmesi,<\/li>\r\n \t<li><strong>Okul d\u0131\u015f\u0131nda<\/strong> ba\u015flam\u0131\u015f olan hastal\u0131k ve yaralanmalar\u0131n tedavisinin okul d\u0131\u015f\u0131nda yapt\u0131r\u0131lmas\u0131,<\/li>\r\n \t<li>\u00d6\u011frencinin ge\u00e7mi\u015f sa\u011fl\u0131k bilgilerinin okula tam ve do\u011fru olarak bildirilmesi,<\/li>\r\n \t<li><strong>Okulda iken ise;<\/strong> sa\u011fl\u0131\u011f\u0131n\u0131n okul taraf\u0131ndan g\u00f6zetilmesi, gerekti\u011finde velisine haber verilerek doktora g\u00f6t\u00fcr\u00fclmesinin sa\u011flanmas\u0131, ailenin de zaman\u0131nda gelip \u00f6\u011frenciyi okuldan almas\u0131, kendisi gelemeyecekse uygun bir ki\u015fiyi g\u00f6ndermesi <strong><u>esast\u0131r<\/u><\/strong>.<\/li>\r\n<\/ul><\/div><\/div><div id=\"wpforms-14021-field_248-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"248\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_248\">Do\u011fruluk beyan\u0131 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_248\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_248_1\" name=\"wpforms[fields][248][]\" value=\"Bu formda verdi\u011fim bilgilerin do\u011fru, ger\u00e7ek ve tam oldu\u011funu beyan ve taahh\u00fct ederim.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_248_1\">Bu formda verdi\u011fim bilgilerin do\u011fru, ger\u00e7ek ve tam oldu\u011funu beyan ve taahh\u00fct ederim.<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_214-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"214\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14021-field_214\">KVK Ayd\u0131nlatma Metni <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_214\" class=\"wpforms-field-required\"><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_214_2\" name=\"wpforms[fields][214][]\" value=\"&lt;a href=&quot;https:\/\/kp.k12.tr\/kesin-kayit-kvkk-aydinlatma-metni\/&quot; target=&quot;_blank&quot;&gt;&lt;b&gt;KVK Ayd\u0131nlatma Metni &lt;\/b&gt;&lt;\/a&gt; \u2019ni okudum, anlad\u0131m.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_214_2\"><a href=\"https:\/\/kp.k12.tr\/kesin-kayit-kvkk-aydinlatma-metni\/\" target=\"_blank\"><b>KVK Ayd\u0131nlatma Metni <\/b><\/a> \u2019ni okudum, anlad\u0131m.<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_247-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"247\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14021-field_247\">KVK A\u00e7\u0131k R\u0131za Metni <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-14021-field_247\" class=\"wpforms-field-required\"><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-14021-field_247_2\" name=\"wpforms[fields][247][]\" value=\"&lt;a href=&quot;https:\/\/kp.k12.tr\/kesin-kayit-kvkk-acik-riza-metni\/&quot; target=&quot;_blank&quot;&gt;&lt;b&gt; KVK A\u00e7\u0131k R\u0131za Metni &lt;\/b&gt;&lt;\/a&gt; \u2019ni okudum, anlad\u0131m. Ki\u015fisel verilerimin bu y\u00f6nde i\u015flenmesini kabul ediyorum.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14021-field_247_2\"><a href=\"https:\/\/kp.k12.tr\/kesin-kayit-kvkk-acik-riza-metni\/\" target=\"_blank\"><b> KVK A\u00e7\u0131k R\u0131za Metni <\/b><\/a> \u2019ni okudum, anlad\u0131m. Ki\u015fisel verilerimin bu y\u00f6nde i\u015flenmesini kabul ediyorum.<\/label><\/li><\/ul><\/div><div id=\"wpforms-14021-field_246-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"246\"><div id=\"wpforms-14021-field_246\"><strong>Velinin;<\/strong>\r\n<br>\r\nAd\u0131 Soyad\u0131:\r\n<br>\r\n\u0130mza:\r\n\r\n<\/div><\/div><div id=\"wpforms-14021-field_250-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"250\"><label class=\"wpforms-field-label\" for=\"wpforms-14021-field_250\">Tek Sat\u0131rl\u0131 Metin<\/label><input type=\"text\" id=\"wpforms-14021-field_250\" class=\"wpforms-field-medium\" name=\"wpforms[fields][250]\" ><\/div><div id=\"wpforms-14021-field_51-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"51\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-14021-field-hp\" class=\"wpforms-field-label\">Comment<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-14021-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha\" style=\"display:none;\"><div class=\"g-recaptcha\" data-sitekey=\"6Lc1Sp0qAAAAAGBNNauQbFW1cY3gU-IMWl38_U0K\" data-size=\"invisible\"><\/div><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"14021\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"6\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-14021\" class=\"wpforms-submit\" data-alt-text=\"G\u00f6nderiliyor...\" data-submit-text=\"G\u00f6nder\" aria-live=\"assertive\" value=\"wpforms-submit\">G\u00f6nder<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":6,"featured_media":0,"parent":67,"menu_order":64,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_view_id":"","footnotes":""},"class_list":["post-68","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/pages\/68","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/comments?post=68"}],"version-history":[{"count":19,"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/pages\/68\/revisions"}],"predecessor-version":[{"id":14546,"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/pages\/68\/revisions\/14546"}],"up":[{"embeddable":true,"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/pages\/67"}],"wp:attachment":[{"href":"https:\/\/kp.k12.tr\/lise\/wp-json\/wp\/v2\/media?parent=68"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}