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4    <title>Hoşgeldin Bebek Seti Başvuru Formu - Ödemiş Belediyesi</title>
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67                        <img src="https://www.odemis.bel.tr/assets/images/odemislogo.svg" class="mr-4 h-16"
68                             alt="Ödemiş Belediyesi"/>
69                    </a>
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71        </div>
72        <div class="md-max-90 max-w-2xl mx-auto mt-8 mb-4 flex items-center">
73            <h5 class=" text-4xl  text-gray-600 leading-relaxed w-4/5 mb-4">
74                Hoşgeldin Bebek Seti Başvuru Formu
75            </h5>
76            <a href="/"
77                class="text-white flex items-center gap-0.5 text-xs min-w-fit px-4 h-8 border-gray-400 bg-gray-400 text-gray-700 rounded-full hover:bg-gray-600 active:shadow-lg mouse shadow transition ease-in duration-200 focus:outline-none">
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81                <span>Anasayfaya Dön</span>
82            </a>
83        </div>
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86                <input type="hidden" name="_token" value="7vlao9V00xl0shIa7WlMXB0P6mS5DkAYHWYe7AiX">                <input name="form_token" value="hosgeldin-bebek-seti-basvuru-formu" hidden>
87                                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-1">
88                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
89                                                                                                                                                                        <p class="text-md text-gray-600 leading-relaxed w-100"> <p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 0px; font-size: medium; color: rgb(49, 112, 143);">Hoş Geldin Bebek Seti'ni almak isteyen ailelerin bu form ile başvuruda bulunmaları gerekmektedir.</p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 0px; font-size: medium; color: rgb(49, 112, 143);"></p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
89 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 5px 0px 0px; font-size: medium; color: rgb(49, 112, 143);"></p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 5px 0px 0px; font-size: medium; color: rgb(49, 112, 143);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; font-weight: 700;">Başvuru Şartları:</span></p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
89 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 5px 0px 0px; font-size: medium; color: rgb(49, 112, 143);"></p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 5px 0px 0px; font-size: medium; color: rgb(49, 112, 143);">1) Bebeğin son 4 ay içinde doğmuş olması</p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 5px 0px 0px; font-size: medium; color: rgb(49, 112, 143);"></p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
89 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; margin: 5px 0px 0px; font-size: medium; color: rgb(49, 112, 143);">2) Nüfusta kayıtlı ikamet adresinin Ödemiş ilçe sınırları içinde olması</p> </p>
90                                                                                                                                                        </div>
91                                                                            </div>
92                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-2">
93                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
94                                                                                                                                                                        <label for="bfd51adb-9c58-4bc5-a346-f4d7fe3ee736" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="230107a9-786c-429f-95c6-2d84f698ae62" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Bebeğin Adı<br></span></label></label>
95                                                <input type="text" required  id="bfd51adb-9c58-4bc5-a346-f4d7fe3ee736" name="bfd51adb-9c58-4bc5-a346-f4d7fe3ee736" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
96                                                                                                                                                        </div>
97                                                                            </div>
98                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-3">
99                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
100                                                                                                                                                                        <label for="533c81ab-c7e8-42c1-84ca-643bde45feb3" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="0cc6af23-f89e-483f-9c99-e53970906b6f" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
100 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Bebeğin Soyadı<br></span></label></label>
101                                                <input type="text" required  id="533c81ab-c7e8-42c1-84ca-643bde45feb3" name="533c81ab-c7e8-42c1-84ca-643bde45feb3" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
102                                                                                                                                                        </div>
103                                                                            </div>
104                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-4">
105                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
106                                                                                                                                                                        <label for="c10015a9-5d47-422e-8008-cf0bf19e9afb" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="9b491e3b-91df-4c23-b1f2-9712bdcffda1" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
106 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><label for="9b491e3b-91df-4c23-b1f2-9712bdcffda1" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Bebeğin TC Kimlik Numarası<br></span></label></label></label>
107                                                <input type="text" required  id="c10015a9-5d47-422e-8008-cf0bf19e9afb" name="c10015a9-5d47-422e-8008-cf0bf19e9afb" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
108                                                                                                                                                        </div>
109                                                                            </div>
110                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-5">
111                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
112                                                                                                                                                                        <label for="" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><span style="color: rgb(17, 24, 39); font-family: Poppins;">Bebeğin Doğum Tarihi</span></label>
113                                                <input type="date" required id="a1bc6973-1263-480f-bf86-c0acd7be48f9" name="a1bc6973-1263-480f-bf86-c0acd7be48f9" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" type="date" required="true" className="false"  >
114                                                                                                                                                        </div>
115                                                                            </div>
116                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-6">
117                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
118                                                                                                                                                                        <label for="87d209fa-8cad-4397-9f0c-f3aa89935d15" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><span style="color: rgb(17, 24, 39); font-family: Poppins;">Bebeğin Annesinin Adı</span></label>
119                                                <input type="text" required  id="87d209fa-8cad-4397-9f0c-f3aa89935d15" name="87d209fa-8cad-4397-9f0c-f3aa89935d15" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
120                                                                                                                                                        </div>
121                                                                            </div>
122                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-7">
123                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
124                                                                                                                                                                        <label for="6687f24d-6bd0-4440-b3f3-a0c2b2519048" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="d47bd09d-e057-464f-9fa5-884af3dc4093" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
124 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Bebeğin Babasının Adı<br></span></label></label>
125                                                <input type="text" required  id="6687f24d-6bd0-4440-b3f3-a0c2b2519048" name="6687f24d-6bd0-4440-b3f3-a0c2b2519048" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
126                                                                                                                                                        </div>
127                                                                            </div>
128                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-8">
129                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
130                                                                                                                                                                        <label for="9497dbf8-0df5-4571-b82b-e9d4561d6c90" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="b73a4d53-a141-4b10-8a22-75cffe7e13f2" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
130 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Bebeğin İkametgah Adresi<br></span></label></label>
131                                                <textarea id="9497dbf8-0df5-4571-b82b-e9d4561d6c90" required name="9497dbf8-0df5-4571-b82b-e9d4561d6c90" min-height="150px" style="min-height: 150px;" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true"  ></textarea>
132                                                                                                                                                        </div>
133                                                                            </div>
134                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-9">
135                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
136                                                                                                                                                                        <label for="17da3ab6-2bf0-4b8e-b93a-3269ff9386c7" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="3888f754-9818-4671-8b74-6980c7cf5e26" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
136 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Başvuruda Bulunanın Adı Soyadı<br></span></label></label>
137                                                <input type="text" required  id="17da3ab6-2bf0-4b8e-b93a-3269ff9386c7" name="17da3ab6-2bf0-4b8e-b93a-3269ff9386c7" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
138                                                                                                                                                        </div>
139                                                                            </div>
140                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-10">
141                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
142                                                                                                                                                                        <label for="6eb02496-ab2c-422a-b7cc-f38f42dba204" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><label for="35be3a31-df22-423e-a2e3-2a50c6ea581e" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ;
142 --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235); font-family: Poppins; display: block; font-size: 0.875rem; line-height: 1.25rem; --tw-text-opacity: 1; color: rgb(17, 24, 39);"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-pan-x: ; --tw-pan-y: ; --tw-pinch-zoom: ; --tw-scroll-snap-strictness: proximity; --tw-gradient-from-position: ; --tw-gradient-via-position: ; --tw-gradient-to-position: ; --tw-ordinal: ; --tw-slashed-zero: ; --tw-numeric-figure: ; --tw-numeric-spacing: ; --tw-numeric-fraction: ; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgb(59 130 246 / 0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; --tw-blur: ; --tw-brightness: ; --tw-contrast: ; --tw-grayscale: ; --tw-hue-rotate: ; --tw-invert: ; --tw-saturate: ; --tw-sepia: ; --tw-drop-shadow: ; --tw-backdrop-blur: ; --tw-backdrop-brightness: ; --tw-backdrop-contrast: ; --tw-backdrop-grayscale: ; --tw-backdrop-hue-rotate: ; --tw-backdrop-invert: ; --tw-backdrop-opacity: ; --tw-backdrop-saturate: ; --tw-backdrop-sepia: ; --tw-contain-size: ; --tw-contain-layout: ; --tw-contain-paint: ; --tw-contain-style: ; box-sizing: border-box; border-width: 0px; border-style: solid; border-color: rgb(229, 231, 235);">Başvuruda Bulunanın Cep Telefonu<br></span></label></label>
143                                                <input type="text" required  id="6eb02496-ab2c-422a-b7cc-f38f42dba204" name="6eb02496-ab2c-422a-b7cc-f38f42dba204" class="bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500" required="true" type="text" className="false"  >
144                                                                                                                                                        </div>
145                                                                            </div>
146                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-11">
147                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
148                                                                                                                                                                        <label for="cf561c1f-4e2f-4821-8858-5f7a7d98b2de" class="block mb-2 text-sm font-medium text-gray-900 dark:text-gray-300"><br></label>
149                                                                                                                                                            <label class="inline-flex items-center mt-3 mr-8">
150                                                            <input type="checkbox" required class="form-radio h-5 w-5 text-purple-600"
151                                                                   value="checkbox-1"
152                                                                   name="cf561c1f-4e2f-4821-8858-5f7a7d98b2de[]"><span
153                                                                class="ml-2 text-gray-700"><a href="https://www.odemis.bel.tr/sayfa/kvkk">KVKK Bilgilendirme Metinlerini okudum ve kişisel verilerimin bu 
153çerçevede işlenmesini kabul ediyorum.</a></span>
154                                                        </label>
155                                                                                                                                                                                                                                                            </div>
156                                                                            </div>
157                                                                                                    <div class="grid grid-cols-1 gap-4 max-w-2xl w-100 row-12">
158                                                                                                                                        <div class="block rounded-lg mb-4 max-w-2xl w-100 column-1">
159                                                                                                                                                                        <button id="submit_btn" type="submit" class="text-white bg-blue-700 hover:bg-blue-800 focus:ring-4 focus:outline-none focus:ring-blue-300 font-medium rounded-lg text-sm w-full sm:w-auto px-5 py-2.5 text-center dark:bg-blue-600 dark:hover:bg-blue-700 dark:focus:ring-blue-800"   >
160                                                    <span>Başvuru Formunu Gönder</span>
161                                                    <svg role="status" class="inline w-4 h-4 text-gray-200 animate-spin dark:text-gray-600 fill-blue-600" viewBox="0 0 100 101" fill="none" xmlns="http://www.w3.org/2000/svg">
162                                                        <path d="M100 50.5908C100 78.2051 77.6142 100.591 50 100.591C22.3858 100.591 0 78.2051 0 50.5908C0 22.9766 22.3858 0.59082 50 0.59082C77.6142 0.59082 100 22.9766 100 50.5908ZM9.08144 50.5908C9.08144 73.1895 27.4013 91.5094 50 91.5094C72.5987 91.5094 90.9186 73.1895 90.9186 50.5908C90.9186 27.9921 72.5987 9.67226 50 9.67226C27.4013 9.67226 9.08144 27.9921 9.08144 50.5908Z" fill="currentColor"/>
163                                                        <path d="M93.9676 39.0409C96.393 38.4038 97.8624 35.9116 97.0079 33.5539C95.2932 28.8227 92.871 24.3692 89.8167 20.348C85.8452 15.1192 80.8826 10.7238 75.2124 7.41289C69.5422 4.10194 63.2754 1.94025 56.7698 1.05124C51.7666 0.367541 46.6976 0.446843 41.7345 1.27873C39.2613 1.69328 37.813 4.19778 38.4501 6.62326C39.0873 9.04874 41.5694 10.4717 44.0505 10.1071C47.8511 9.54855 51.7191 9.52689 55.5402 10.0491C60.8642 10.7766 65.9928 12.5457 70.6331 15.2552C75.2735 17.9648 79.3347 21.5619 82.5849 25.841C84.9175 28.9121 86.7997 32.2913 88.1811 35.8758C89.083 38.2158 91.5421 39.6781 93.9676 39.0409Z" fill="currentFill"/>
164                                                    </svg>
165                                                </button>
166                                                                                                                                                        </div>
167                                                                            </div>
168                                                </form>
169        </div>
170        <div class="md-max-90 max-w-2xl mx-auto md-pd-0 mb-4">
171
172            <footer class="p-4 bg-white rounded-lg shadow md:px-6 md:py-8 dark:bg-gray-800">
173                <div class="flex">
174                    <div class="sm:flex sm:items-center sm:justify-between w-10/12 border-r border-dashed border-gray-500 pr-2 footer_container">
175                        <a href="/" target="_blank" class="flex items-center  mb-4 sm:mb-0">
176                            <img src="https://www.odemis.bel.tr/assets/images/odemislogo.svg" class="mr-4 h-8"
177                                 alt="Ödemiş Belediyesi"/>
178                            <span
179                                class="self-center text-sm font-semibold whitespace-nowrap dark:text-white">Ödemiş Belediyesi</span>
180                        </a>
181                                                <ul class="flex flex-wrap items-center mb-6 sm:mb-0">
182                            <li>
183                                <a href="/iletisim" class="text-sm text-gray-500 hover:underline dark:text-gray-400">İletişim</a>
184                            </li>
185                        </ul>
186                                            </div>
187                    
188                </div>
189
190                <hr class="my-6 border-gray-200 sm:mx-auto dark:border-gray-700 lg:my-8"/>
191                <span class="block text-sm text-gray-500 text-center dark:text-gray-400">© 2026 <a href="/" target="_blank" class="hover:underline">Ödemiş Belediyesi</a>. Tüm Hakları Saklıdır.</span>
192            </footer>
193        </div>
194    </div>
195</div>
196<style>* {font-family: 'Poppins'}#submit_btn{display:flex;justify-content:center}#submit_btn svg,#submit_btn.loading span{display:none} #submit_btn.loading svg{display:block} @media (max-width: 768px) {.text-center{text-align:center}.items-center{align-items:center}.footer_container{ width:100%;max-width:100%;border:0}.md-none{display:none} .md-max-90 {max-width: 90%;padding: 1rem}.md-pd-0 {padding: 0}}</style>
197<script>document.addEventListener("DOMContentLoaded", function(){setTimeout(function () {$('.LVizy9-content').show();$('#app').removeClass('loading')}, 1337)});</script>
197
198</body>
199</html>
200<style>
201    .h-16 {
202    height: 8rem;
203}
204    </style>
205    <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/sweetalert2@11/dist/sweetalert2.min.css">
206    
206<script src="https://cdn.jsdelivr.net/npm/sweetalert2@11/dist/sweetalert2.all.min.js"></script>
206
207    
208    
208<script>
209       document.addEventListener('DOMContentLoaded', function () {
210    const submitBtn = document.getElementById('submit_btn');
211
212    if (submitBtn) {
213        submitBtn.addEventListener('click', function (event) {
214            event.preventDefault();
215
216            const form = document.querySelector('form');
217
218            // Tüm required alanları kontrol et
219            if (!form.checkValidity()) {
220                form.reportValidity();
221                return;
222            }
223
224            Swal.fire({
225                title: 'Bilgilendirme',
226                text: 'Formu göndermek istediğinize emin misiniz?',
227                icon: 'warning',
228                showCancelButton: true,
229                confirmButtonColor: '#3085d6',
230                cancelButtonColor: '#d33',
231                confirmButtonText: 'Evet, Gönder!',
232                cancelButtonText: 'Hayır, İptal Et!'
233            }).then((result) => {
234                if (result.isConfirmed) {
235
236                    const formData = new FormData(form);
237
238                    fetch(form.action, {
239                        method: form.method,
240                        body: formData,
241                        headers: {
242                            'X-Requested-With': 'XMLHttpRequest',
243                            'X-CSRF-TOKEN': document.querySelector('meta[name="csrf-token"]').getAttribute('content')
244                        }
245                    })
246                    .then(response => response.json())
247                    .then(data => {
248
249                        Swal.fire({
250                            title: 'Başarılı!',
251                            text: 'Başvurunuz alındı.',
252                            icon: 'success',
253                            confirmButtonColor: '#3085d6',
254                            confirmButtonText: 'Tamam'
255                        }).then(() => {
256                            form.reset();
257                        });
258
259                    })
260                    .catch(() => {
261                        Swal.fire({
262                            title: 'Hata!',
263                            text: 'Sunucu ile bağlantı kurulamadı.',
264                            icon: 'error',
265                            confirmButtonColor: '#3085d6',
266                            confirmButtonText: 'Tamam'
267                        });
268                    });
269
270                }
271            });
272        });
273    }
274});
275    </script>
275
276    

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