<?php require_once('Connections/forum.html'); ?>
<?php
// Load the common classes
require_once('includes/common/KT_common.html');

// Load the tNG classes
require_once('includes/tng/tNG.inc.html');

// Make a transaction dispatcher instance
$tNGs = new tNG_dispatcher("");

// Make unified connection variable
$conn_forum = new KT_connection($forum, $database_forum);

// Start trigger
$formValidation = new tNG_FormValidation();
$formValidation->addField("isim", true, "text", "", "", "", "Lütfen Adınızı ve Soyadınızı Giriniz...");
$formValidation->addField("tel", true, "text", "", "", "", "Lütfen Telefon Numarınızı Giriniz...");
$formValidation->addField("eposta", true, "text", "email", "", "", "Lütfen Email Adresinizi Giriniz... ");
$formValidation->addField("psigsirk", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("pacente", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("pno", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("psigadres", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("prizadres", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("pbastarih", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("pbittarih", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("pdosyano", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("psigbedeli", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("htarihi", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("htutari", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("hnedeni", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("hadres", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("hnot", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("iisim", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("itel", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("ifaks", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("ieposta", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$formValidation->addField("iadres", true, "text", "", "", "", "Lütfen Boş Alan Bırakmayınız...");
$tNGs->prepareValidation($formValidation);
// End trigger

// Make an insert transaction instance
$ins_talepformu = new tNG_insert($conn_forum);
$tNGs->addTransaction($ins_talepformu);
// Register triggers
$ins_talepformu->registerTrigger("STARTER", "Trigger_Default_Starter", 1, "POST", "KT_Insert1");
$ins_talepformu->registerTrigger("BEFORE", "Trigger_Default_FormValidation", 10, $formValidation);
$ins_talepformu->registerTrigger("END", "Trigger_Default_Redirect", 99, "ekspertiz_sigorta_ankara_ekspertiz_talep_formu_ok.html");
// Add columns
$ins_talepformu->setTable("talepformu");
$ins_talepformu->addColumn("isim", "STRING_TYPE", "POST", "isim");
$ins_talepformu->addColumn("tel", "STRING_TYPE", "POST", "tel");
$ins_talepformu->addColumn("faks", "STRING_TYPE", "POST", "faks");
$ins_talepformu->addColumn("eposta", "STRING_TYPE", "POST", "eposta");
$ins_talepformu->addColumn("psigsirk", "STRING_TYPE", "POST", "psigsirk");
$ins_talepformu->addColumn("pacente", "STRING_TYPE", "POST", "pacente");
$ins_talepformu->addColumn("pno", "STRING_TYPE", "POST", "pno");
$ins_talepformu->addColumn("psigadres", "STRING_TYPE", "POST", "psigadres");
$ins_talepformu->addColumn("prizadres", "STRING_TYPE", "POST", "prizadres");
$ins_talepformu->addColumn("pbastarih", "STRING_TYPE", "POST", "pbastarih");
$ins_talepformu->addColumn("pbittarih", "STRING_TYPE", "POST", "pbittarih");
$ins_talepformu->addColumn("pdosyano", "STRING_TYPE", "POST", "pdosyano");
$ins_talepformu->addColumn("psigbedeli", "STRING_TYPE", "POST", "psigbedeli");
$ins_talepformu->addColumn("htarihi", "STRING_TYPE", "POST", "htarihi");
$ins_talepformu->addColumn("htutari", "STRING_TYPE", "POST", "htutari");
$ins_talepformu->addColumn("hnedeni", "STRING_TYPE", "POST", "hnedeni");
$ins_talepformu->addColumn("hadres", "STRING_TYPE", "POST", "hadres");
$ins_talepformu->addColumn("hnot", "STRING_TYPE", "POST", "hnot");
$ins_talepformu->addColumn("iisim", "STRING_TYPE", "POST", "iisim");
$ins_talepformu->addColumn("itel", "STRING_TYPE", "POST", "itel");
$ins_talepformu->addColumn("ifaks", "STRING_TYPE", "POST", "ifaks");
$ins_talepformu->addColumn("ieposta", "STRING_TYPE", "POST", "ieposta");
$ins_talepformu->addColumn("iadres", "STRING_TYPE", "POST", "iadres");
$ins_talepformu->setPrimaryKey("talepid", "NUMERIC_TYPE");

// Execute all the registered transactions
$tNGs->executeTransactions();

// Get the transaction recordset
$rstalepformu = $tNGs->getRecordset("talepformu");
$row_rstalepformu = mysql_fetch_assoc($rstalepformu);
$totalRows_rstalepformu = mysql_num_rows($rstalepformu);
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
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<html xmlns="http://www.w3.org/1999/xhtml"><!-- InstanceBegin template="/Templates/ekspertiz_ankaratmpic.dwt.html" codeOutsideHTMLIsLocked="false" -->
<head>
<!-- InstanceBeginEditable name="doctitle" -->
<title>Forum Ekspertiz, sigorta, ankara, ekspertiz ankara, eksper, yangın, hırsızlık, hasar ve risk yönetimi, ekspertiz hizmetleri, tazminat talebi, kurumsal hasar yönetimi</title>
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});
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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Copyright" content="Copyright © 2007-2015 Baskenttasarim">
<meta name="author" content="korayadilyilmaz +90 312 343 68 88">
<meta name="keywords" content="sigorta, ekspertiz hizmetleri, ekspertiz ankara, eksper, sigorta, hasar, sigorta ekspertiz hizmetleri ankara, forum, forum ekspertiz"/>
<meta name="description" content="Forum Ekspertiz, sigorta, ekspertiz hizmetleri, ekspertiz ankara, eksper, yangın, hırsızlık, dask hasar, sigorta ekspertiz hizmetleri ankara, forum, forum ekspertiz gibi geniş hizmet yelpazesi ile sektöründe yükselen değerdir"/>
<meta name="language" content="Turkish, English">
<meta name="rating" content="General">
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<meta http-equiv="Reply-to" content="baskentwebtasarim@gmail.com" />
<meta http-equiv="Page-Exit" content="blendTrans(Duration=0.8)"/>
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if (navigator.appName=="Netscape" && parseInt(navigator.appVersion)==4) { 
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document.captureEvents(Event.MOUSEDOWN);
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document.onmouseup=NSclick;
}
if (navigator.appName=="Microsoft Internet Explorer") { 
document.oncontextmenu = new Function("return false;")
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if (window.sidebar){
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function MM_findObj(n, d) { //v4.01
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<!-- InstanceBeginEditable name="head" -->
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<link href="includes/skins/mxkollection3.css" rel="stylesheet" type="text/css" media="all" />
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</head>
<body onload="MM_preloadImages('img/ekspertiz_ankara_r3_c3_f2.jpg','img/ekspertiz_ankara_r3_c5_f2.jpg','img/ekspertiz_ankara_r3_c7_f2.jpg','img/ekspertiz_ankara_r3_c9_f2.jpg','img/ekspertiz_ankara_r3_c11_f2.jpg','img/ekspertiz_ankara_r3_c13_f2.jpg','img/ekspertiz_ankara_r3_c15_f2.jpg','img/ekspertiz_ankara_r3_c17_f2.jpg','img/ekspertiz_ankara_r3_c20_f2.jpg','img/ekspertiz_ankara_r3_c21_f2.jpg')">
<table width="1023" border="0" align="center" cellpadding="0" cellspacing="0">
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  <tr>
   <td colspan="3"><img name="ekspertiz_ankara_r1_c1" src="img/ekspertiz_ankara_r1_c1.jpg" width="219" height="153" border="0" id="ekspertiz_ankara_r1_c1" alt="" /></td>
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   <!-- InstanceEndEditable --></td>
   <td rowspan="2"><img name="ekspertiz_ankara_r1_c26" src="img/ekspertiz_ankara_r1_c26.jpg" width="4" height="265" border="0" id="ekspertiz_ankara_r1_c26" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="153" border="0" alt="" /></td>
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   <td><a href="index.html"><img name="ekspertiz_ankara_r3_c22" src="img/ekspertiz_ankara_r3_c22.jpg" width="45" height="45" border="0" id="ekspertiz_ankara_r3_c22" alt="" /></a></td>
   <td><a href="eng_index.html"><img name="ekspertiz_ankara_r3_c23" src="img/ekspertiz_ankara_r3_c23.jpg" width="45" height="45" border="0" id="ekspertiz_ankara_r3_c23" alt="" /></a></td>
   <td colspan="3"><img name="ekspertiz_ankara_r3_c24" src="img/ekspertiz_ankara_r3_c24.jpg" width="19" height="45" border="0" id="ekspertiz_ankara_r3_c24" alt="" /></td>
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  </tr>
  <tr>
   <td colspan="26"><img name="ekspertiz_ankara_r4_c1" src="img/ekspertiz_ankara_r4_c1.jpg" width="1023" height="13" border="0" id="ekspertiz_ankara_r4_c1" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="13" border="0" alt="" /></td>
  </tr>
  <tr>
   <td rowspan="3" valign="top" background="resimler/solarka.jpg"><img name="ekspertiz_ankara_r5_c1" src="img/ekspertiz_ankara_r5_c1.jpg" width="7" height="497" border="0" id="ekspertiz_ankara_r5_c1" alt="" /></td>
   <td colspan="4" rowspan="2" valign="top" bgcolor="#FFFFFF"><!-- InstanceBeginEditable name="EditRegion2" -->
     <table width="100" cellspacing="0" cellpadding="0">
       <tr>
         <td valign="top"><img src="resimler/forumekspertiz_ankara.jpg" width="262" height="41" /></td>
       </tr>
       <tr>
         <td valign="top"><table width="259" cellspacing="5" cellpadding="0">
             <tr>
               <td width="17"><div align="right"><img src="resimler/ekspertiz_sigorta_ankara_kare.jpg" width="10" height="9" /></div></td>
               <td width="225" class="icyazi3"><a href="ekspertiz_sigorta_ankara_ekspertiz_saha_uygulamalari.html" class="icyazi3">Saha Uygulamaları </a></td>
             </tr>
             <tr>
               <td><div align="right"><img src="resimler/ekspertiz_sigorta_ankara_kare.jpg" width="10" height="9" /></div></td>
               <td class="icyazi3"><a href="ekspertiz_sigorta_ankara_ekspertiz_uzmanlik_alanlari.html" class="icyazi3">Uzmanlık Alanları </a></td>
             </tr>
             <tr>
               <td><div align="right"><img src="resimler/ekspertiz_sigorta_ankara_kare.jpg" width="10" height="9" /></div></td>
               <td><a href="ekspertiz_sigorta_ankara_ekspertiz_talep_formu.html" class="icyazi3">Ekspertiz Talep Formu </a></td>
             </tr>
         </table></td>
       </tr>
       <tr>
         <td valign="top">&nbsp;</td>
       </tr>
       <tr>
         <td valign="top"><a href="http://www.ipekyolunet.com/sorgu.aspx?q=876" target="_blank"><img src="resimler/ekspertiz_sigorta_ankara_online_hasar_sorgulama.jpg" width="262" height="177" border="0" /></a></td>
       </tr>
       <tr>
         <td valign="top"><a href="../ekatalog/index.html" target="_blank"><img src="resimler/onlinekatalogtr.jpg" width="260" height="30" border="0" /></a></td>
       </tr>
     </table>
   <!-- InstanceEndEditable --></td>
   <td colspan="19" rowspan="2" valign="top" bgcolor="#FFFFFF"><!-- InstanceBeginEditable name="EditRegion3" -->
     <table width="100" cellspacing="0" cellpadding="0">
       <tr>
         <td><img src="resimler/ekspertiz_ankara.jpg" width="746" height="41" /></td>
       </tr>
       <tr>
         <td valign="top"><table width="745" cellspacing="0" cellpadding="0">
             <tr>
               <td width="5" valign="top">&nbsp;</td>
               <td width="711" valign="top"><p class="icyazi3"><strong>EKSPERTİZ TALEP FORMU</strong>&nbsp;
                   <?php
	echo $tNGs->getErrorMsg();
?>
                 </p>
                 <form method="post" id="form1" action="<?php echo KT_escapeAttribute(KT_getFullUri()); ?>">
                   <table align="left" cellpadding="2" cellspacing="5" >
                     <tr>
                       <td colspan="2" valign="top" class="icyazi3"><strong>Kişisel Bilgiler </strong></td>
                      </tr>
                     <tr>
                       <td width="190" valign="top" class="icyazi3">
                         <label for="isim">Sigortalı Adı Soyadı/ Ünvanı</label>                       </td>
                       <td width="275" valign="top"><input name="isim" type="text" class="icyazi3" id="isim" value="<?php echo KT_escapeAttribute($row_rstalepformu['isim']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("isim");?> <?php echo $tNGs->displayFieldError("talepformu", "isim"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3">
                         <label for="tel">Telefon</label>                       </td>
                       <td valign="top"><input name="tel" type="text" class="icyazi3" id="tel" value="<?php echo KT_escapeAttribute($row_rstalepformu['tel']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("tel");?> <?php echo $tNGs->displayFieldError("talepformu", "tel"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3">
                         <label for="faks">Faks:</label>                       </td>
                       <td valign="top"><input name="faks" type="text" class="icyazi3" id="faks" value="<?php echo KT_escapeAttribute($row_rstalepformu['faks']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("faks");?> <?php echo $tNGs->displayFieldError("talepformu", "faks"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3">
                         <label for="eposta">E-posta:</label>                       </td>
                       <td valign="top"><input name="eposta" type="text" class="icyazi3" id="eposta" value="<?php echo KT_escapeAttribute($row_rstalepformu['eposta']); ?>" size="32" />                         <?php echo $tNGs->displayFieldError("talepformu", "eposta"); ?></td>
                     </tr>
                     <tr>
                       <td colspan="2" valign="top" class="KT_th"><p class="icyazi3"><strong>Poliçe Bilgileri</strong></p></td>
                      </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="psigsirk">Sigorta Şirketi</label></td>
                       <td valign="top"><input name="psigsirk" type="text" class="icyazi3" id="psigsirk" value="<?php echo KT_escapeAttribute($row_rstalepformu['psigsirk']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("psigsirk");?> <?php echo $tNGs->displayFieldError("talepformu", "psigsirk"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="pacente">Acente</label></td>
                       <td valign="top"><input name="pacente" type="text" class="icyazi3" id="pacente" value="<?php echo KT_escapeAttribute($row_rstalepformu['pacente']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("pacente");?> <?php echo $tNGs->displayFieldError("talepformu", "pacente"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="pno">Poliçe No</label></td>
                       <td valign="top"><input name="pno" type="text" class="icyazi3" id="pno" value="<?php echo KT_escapeAttribute($row_rstalepformu['pno']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("pno");?> <?php echo $tNGs->displayFieldError("talepformu", "pno"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><p>Sigortalı Adresi</p>                         <label for="psigadres"></label></td>
                       <td valign="top"><textarea name="psigadres" cols="32" rows="5" class="icyazi3" id="psigadres"><?php echo KT_escapeAttribute($row_rstalepformu['psigadres']); ?></textarea>
                         <?php echo $tNGs->displayFieldHint("psigadres");?> <?php echo $tNGs->displayFieldError("talepformu", "psigadres"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><p>Riziko Adresi</p>                         <label for="prizadres"></label></td>
                       <td valign="top"><textarea name="prizadres" cols="32" rows="5" class="icyazi3" id="prizadres"><?php echo KT_escapeAttribute($row_rstalepformu['prizadres']); ?></textarea>
                         <?php echo $tNGs->displayFieldHint("prizadres");?> <?php echo $tNGs->displayFieldError("talepformu", "prizadres"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="pbastarih">Poliçe Başlangıç Tarihi </label></td>
                       <td valign="top"><input name="pbastarih" type="text" class="icyazi3" id="pbastarih" value="<?php echo KT_escapeAttribute($row_rstalepformu['pbastarih']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("pbastarih");?> <?php echo $tNGs->displayFieldError("talepformu", "pbastarih"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="pbittarih">Poliçe Bitiş Tarihi </label></td>
                       <td valign="top"><input name="pbittarih" type="text" class="icyazi3" id="pbittarih" value="<?php echo KT_escapeAttribute($row_rstalepformu['pbittarih']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("pbittarih");?> <?php echo $tNGs->displayFieldError("talepformu", "pbittarih"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="pdosyano">Dosya No</label></td>
                       <td valign="top"><input name="pdosyano" type="text" class="icyazi3" id="pdosyano" value="<?php echo KT_escapeAttribute($row_rstalepformu['pdosyano']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("pdosyano");?> <?php echo $tNGs->displayFieldError("talepformu", "pdosyano"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="psigbedeli">Sigorta Bedeli</label></td>
                       <td valign="top"><input name="psigbedeli" type="text" class="icyazi3" id="psigbedeli" value="<?php echo KT_escapeAttribute($row_rstalepformu['psigbedeli']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("psigbedeli");?> <?php echo $tNGs->displayFieldError("talepformu", "psigbedeli"); ?></td>
                     </tr>
                     <tr>
                       <td colspan="2" valign="top" class="KT_th"><p class="icyazi3"><strong>Hasar Bilgileri</strong></p></td>
                      </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="htarihi">Hasar Tarihi / Saati</label></td>
                       <td valign="top"><input name="htarihi" type="text" class="icyazi3" id="htarihi" value="<?php echo KT_escapeAttribute($row_rstalepformu['htarihi']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("htarihi");?> <?php echo $tNGs->displayFieldError("talepformu", "htarihi"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="htutari">Tahmini Hasar Tutarı</label></td>
                       <td valign="top"><input name="htutari" type="text" class="icyazi3" id="htutari" value="<?php echo KT_escapeAttribute($row_rstalepformu['htutari']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("htutari");?> <?php echo $tNGs->displayFieldError("talepformu", "htutari"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="hnedeni">Hasar Nedeni</label></td>
                       <td valign="top"><textarea name="hnedeni" cols="32" rows="5" class="icyazi3" id="hnedeni"><?php echo KT_escapeAttribute($row_rstalepformu['hnedeni']); ?></textarea>
                         <?php echo $tNGs->displayFieldHint("hnedeni");?> <?php echo $tNGs->displayFieldError("talepformu", "hnedeni"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><p>Hasar Adres Bilgileri</p>                         <label for="hadres"></label></td>
                       <td valign="top"><textarea name="hadres" cols="32" rows="5" class="icyazi3" id="hadres"><?php echo KT_escapeAttribute($row_rstalepformu['hadres']); ?></textarea>
                         <?php echo $tNGs->displayFieldHint("hadres");?> <?php echo $tNGs->displayFieldError("talepformu", "hadres"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><p>Hasarla İlgili Notlar</p>                         <label for="hnot"></label></td>
                       <td valign="top"><textarea name="hnot" cols="32" rows="5" class="icyazi3" id="hnot"><?php echo KT_escapeAttribute($row_rstalepformu['hnot']); ?></textarea>
                         <?php echo $tNGs->displayFieldHint("hnot");?> <?php echo $tNGs->displayFieldError("talepformu", "hnot"); ?></td>
                     </tr>
                     <tr>
                       <td colspan="2" valign="top" class="icyazi3"><strong>İhbar Bilgileri</strong></td>
                      </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><p>İhbarda Bulunan</p>                         
                        <label for="iisim"></label></td>
                       <td valign="top"><input name="iisim" type="text" class="icyazi3" id="iisim" value="<?php echo KT_escapeAttribute($row_rstalepformu['iisim']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("iisim");?> <?php echo $tNGs->displayFieldError("talepformu", "iisim"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="itel">Telefon</label></td>
                       <td valign="top"><input name="itel" type="text" class="icyazi3" id="itel" value="<?php echo KT_escapeAttribute($row_rstalepformu['itel']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("itel");?> <?php echo $tNGs->displayFieldError("talepformu", "itel"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="ifaks">Faks</label></td>
                       <td valign="top"><input name="ifaks" type="text" class="icyazi3" id="ifaks" value="<?php echo KT_escapeAttribute($row_rstalepformu['ifaks']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("ifaks");?> <?php echo $tNGs->displayFieldError("talepformu", "ifaks"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="ieposta">E-Posta</label></td>
                       <td valign="top"><input name="ieposta" type="text" class="icyazi3" id="ieposta" value="<?php echo KT_escapeAttribute($row_rstalepformu['ieposta']); ?>" size="32" />
                         <?php echo $tNGs->displayFieldHint("ieposta");?> <?php echo $tNGs->displayFieldError("talepformu", "ieposta"); ?></td>
                     </tr>
                     <tr>
                       <td valign="top" class="icyazi3"><label for="iadres">Adres</label></td>
                       <td valign="top"><textarea name="iadres" cols="32" rows="5" class="icyazi3" id="iadres"><?php echo KT_escapeAttribute($row_rstalepformu['iadres']); ?></textarea>
                         <?php echo $tNGs->displayFieldHint("iadres");?> <?php echo $tNGs->displayFieldError("talepformu", "iadres"); ?></td>
                     </tr>
                     <tr>
                       <td colspan="2" valign="top"><table width="200" border="0">
                           <tr>
                             <td width="96"><input name="KT_Insert1" type="submit" class="icyazibold" id="KT_Insert1" value="GÖNDER" /></td>
                             <td width="94"><label>
                               <input name="Reset" type="reset" class="icyazibold" value="TEMİZLE" />
                             </label></td>
                           </tr>
                         </table></td>
                     </tr>
                   </table>
                   <span class="icyazi3"><img src="resimler/ekspertiztalebi.jpg" width="200" height="300" hspace="5" vspace="5" align="right" /></span>
                 </form>
                 <p>&nbsp;</p>
                 </p></td>
               <td width="27" valign="top">&nbsp;</td>
             </tr>
         </table></td>
       </tr>
     </table>
   <!-- InstanceEndEditable --></td>
   <td colspan="2" rowspan="3" valign="top" background="resimler/sagarka.jpg"><img name="ekspertiz_ankara_r5_c25" src="img/ekspertiz_ankara_r5_c25.jpg" width="6" height="497" border="0" id="ekspertiz_ankara_r5_c25" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="41" border="0" alt="" /></td>
  </tr>
  <tr>
   <td><img src="img/spacer.gif" width="1" height="379" border="0" alt="" /></td>
  </tr>
  <tr>
   <td colspan="23" valign="top" bgcolor="#FFFFFF"><!-- InstanceBeginEditable name="EditRegion51" -->
     <table width="1010" cellpadding="0" cellspacing="0">
       <tr>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
         <td>&nbsp;</td>
       </tr>
       <tr>
         <td width="127"><div align="center"><img src="resimler/dask.jpg" width="90" height="90" /></div></td>
         <td width="127"><div align="center"><img src="resimler/yangin.jpg" width="90" height="90" /></div></td>
         <td width="127"><div align="center"><img src="resimler/fabrika.jpg" width="90" height="90" /></div></td>
         <td width="127"><div align="center"><img src="resimler/risk.jpg" width="90" height="90" /></div></td>
         <td width="127"><div align="center"><img src="resimler/kaza.jpg" width="90" height="90" /></div></td>
         <td width="127"><div align="center"><img src="resimler/kamyon.jpg" width="90" height="90" /></div></td>
         <td width="127"><div align="center"><img src="resimler/yildirim.jpg" width="90" height="90" /></div></td>
         <td width="119"><div align="center"><img src="resimler/tesisat.jpg" width="90" height="90" /></div></td>
       </tr>
     </table>
   <!-- InstanceEndEditable --></td>
   <td><img src="img/spacer.gif" width="1" height="77" border="0" alt="" /></td>
  </tr>
  <tr>
   <td colspan="26"><img name="ekspertiz_ankara_r8_c1" src="img/ekspertiz_ankara_r8_c1.jpg" width="1023" height="14" border="0" id="ekspertiz_ankara_r8_c1" alt="" /></td>
   <td><img src="img/spacer.gif" width="1" height="14" border="0" alt="" /></td>
  </tr>
  <tr>
   <td colspan="7"><img name="ekspertiz_ankara_r9_c1" src="img/ekspertiz_ankara_r9_c1.jpg" width="375" height="66" border="0" id="ekspertiz_ankara_r9_c1" alt="" /></td>
   <td colspan="2"><a href="ekspertiz_sigorta_ankara_kalite_politikasi.html"><img name="ekspertiz_ankara_r9_c8" src="img/ekspertiz_ankara_r9_c8.jpg" width="76" height="66" border="0" id="ekspertiz_ankara_r9_c8" alt="" /></a></td>
   <td colspan="2"><a href="ekspertiz_sigorta_ankara_gizlilik_politikasi.html"><img name="ekspertiz_ankara_r9_c10" src="img/ekspertiz_ankara_r9_c10.jpg" width="78" height="66" border="0" id="ekspertiz_ankara_r9_c10" alt="" /></a></td>
   <td colspan="2"><a href="ekspertiz_sigorta_ankara_kullanim_haklari.html"><img name="ekspertiz_ankara_r9_c12" src="img/ekspertiz_ankara_r9_c12.jpg" width="80" height="66" border="0" id="ekspertiz_ankara_r9_c12" alt="" /></a></td>
   <td colspan="2"><a href="ekspertiz_sigorta_ankara_site_haritasi.html"><img name="ekspertiz_ankara_r9_c14" src="img/ekspertiz_ankara_r9_c14.jpg" width="61" height="66" border="0" id="ekspertiz_ankara_r9_c14" alt="" /></a></td>
   <td colspan="2"><a href="ekspertiz_sigorta_ankara_iletisim1.html"><img name="ekspertiz_ankara_r9_c16" src="img/ekspertiz_ankara_r9_c16.jpg" width="61" height="66" border="0" id="ekspertiz_ankara_r9_c16" alt="" /></a></td>
   <td colspan="9"><a href="https://www.ankara-web.com" target="_blank">Ankara Web Tasarım</a></td>
   <td><img src="img/spacer.gif" width="1" height="66" border="0" alt="" /></td>
  </tr>
</table>
</body>
<!-- InstanceEnd --></html>