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<meta http-equiv="Content-Language" content="tr">
<meta http-equiv="Content-Type" content="text/html; charset=windows-1254">
<title>We'd like to know you better!</title>
</head>
<body>
<form method="POST" action="http://nowhere.com/cgi-bin/dummy.pl">
<p> </p>
<center>
<table border="0" width="85%" cellspacing="5" cellpadding="4">
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<td width="100%" colspan="3" bgcolor="#000000">
<font color="#FFFFFF"><br>
<b><font face="Verdana" size="4">
We'd like to know you better...
</font></b><br>
</font></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">Name, Surname</font></td>
<td width="97%"><input type="text" name="name" size="32"
style="font-family: Verdana;
font-size: 10pt"></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">Gender</font></td>
<td width="97%">
<input type="radio" value="F" checked name="Gender">Female
<input type="radio" name="gender" value="M">Male</td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">Hobbies</font></td>
<td width="97%">
<input type="checkbox" value="1" name="hobbies">Sports<br>
<input type="checkbox" value="2" name="hobbies" >Literature<br>
<input type="checkbox" value="3" name="hobbies" >Movies<br>
<input type="checkbox" value="2" name="hobbies" checked>Travel</td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">Birth Date (dd/mm/yyyy)</font></td>
<td width="97%"><input type="text" name="bdate" size="20"
style="font-family: Verdana; font-size: 10pt"></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">e-mail</font></td>
<td width="97%"><input type="text" name="email" size="38"
style="font-family: Verdana; font-size: 10pt"></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">Educational</font></td>
<td width="97%">
<select size="1" name="education"
style="font-family: Verdana; font-size: 10pt">
<option>Elementary</option>
<option>High School</option>
<option>Certification</option>
<option>BS/BA</option>
<option>MS/MA</option>
<option>PhD</option>
</select></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">
Programming Languages</font></td>
<td width="97%">
<select size="6" name="langs" multiple
style="font-family: Verdana; font-size: 10pt">
<option>Perl</option>
<option>C</option>
<option selected>C++</option>
<option>Pascal</option>
<option>FORTRAN</option>
<option>COBOL</option>
<option>PL/I</option>
<option>BASIC</option>
</select></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%" valign="top" align="right">
<font face="Verdana">Other</font></td>
<td width="97%">
<textarea rows="5" name="other" cols="36"
style="font-family: Verdana; font-size: 10pt">
Please type any other info that
you would like us to know here.
</textarea></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%"></td>
<td width="97%">
<input type="submit" value=" Send "
name="SUBMIT" style="font-family: Verdana; font-size: 10pt"></td>
</tr>
<tr>
<td width="7%"></td>
<td width="65%"></td>
<td width="97%">
<input type="reset" value=" Clear "
name="SUBMIT" style="font-family: Verdana; font-size: 10pt"></td>
</tr>
</table>
</center>
</form>
</body>
</html>