AVROSiS Bilgi Teknolojileri Dan��manl�k ve Kiralama Hizmetleri �� Ba�vuru Formu
K���SEL B�LG�LER
Ad:
Soyad:
Do�um Yeri:
Do�um Tarihi:
G�n
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31
Ay
Ocak
�ubat
Mart
Nisan
May�s
Haziran
Temmuz
A�ustos
Eyl�l
Ekim
Kas�m
Aral�k
Y�l
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
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1968
1967
1966
1965
1964
1963
1962
1961
1960
Cinsiyet:
Erkek
Kad�n
Medeni Durum:
S�rekli Adres:
Telefon:
Cep Telefonu:
E-mail:
SSK No:
T.C. Kimlik No:
Uyruk:
Askerlik Durumu:
Askerli�inizi Yapmad�ysan�z
Nedenini Yaz�n�z:
Aile Durumu
Ad� Soyad�:
Do�um Yeri & Y�l�:
��renim Durumu:
Mesle�i, ��yeri:
Bakmakla Y�k�ml�
Olduklar�n�z:
Annenizin
Baban�z�n
E�inizin
�ocu�unuzun
�ocu�unuzun
�ocu�unuzun
F�Z�KSEL B�LG�LER
Boyunuz:
Kilonuz:
Ge�irmi� oldu�unuz, s�regelen �nemli
rahats�zl�klar ve t�bbi operasyonlar var m�?
Herhangi bir bedensel �z�r�n�z var m�?
Yok
Ayak
Eller
Duyma
Konu�ma
Di�er
Acil durumlarda ba�vurulacak ki�inin
Ad� Soyad�, Telefonu, Adresi:
E��T�M B�LG�LER�
En Son Bitirdi�iniz Okul:
�lk��retim
Lise
�niversite
Y.Lisans/Doktora
Okul / B�l�m:
Giri� Tarihi:
Mezuniyet Tarihi:
�lk��retim:
Y�l
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
Terk
��renci
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Lise:
Y�l
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
Terk
��renci
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
�niversite:
Y�l
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
Terk
��renci
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�ksek Lisans / Doktora / Uzmanl�k:
Y�l
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
Terk
��renci
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Yabanc� Dil:
Konu�ma
Yazma
�ngilizce:
�ok �yi
�yi
Orta
Zay�f
�ok �yi
�yi
Orta
Zay�f
Almanca:
�ok �yi
�yi
Orta
Zay�f
�ok �yi
�yi
Orta
Zay�f
Frans�zca:
�ok �yi
�yi
Orta
Zay�f
�ok �yi
�yi
Orta
Zay�f
Di�er:
�ok �yi
�yi
Orta
Zay�f
�ok �yi
�yi
Orta
Zay�f
Kat�ld���n�z kurs, seminer,
sertifika programlar�:
Bilgisayar kullan�yor musunuz?
Evet
Hay�r
Evet ise kulland���n�z programlar:
�� TECR�BES�
L�tfen son i� tecr�besi ba�ta olmak �zere belirtiniz.
Kurulu� �smi, Adresi:
Giri� Tarihi:
Ayr�l�� Tarihi:
Pozisyon:
Ayr�l�� Nedeni:
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
D��ER B�LG�LER
AVROSiS Bilgi Teknolojileri Dan��manl�k ve Kiralama Hizmetleri'ni nereden duydunuz?
AVROSiS Bilgi Teknolojileri Dan��manl�k ve Kiralama Hizmetlerin 'de �al��an akraba ya da
tan�d���n�z var m�?
Evet
Hay�r
Varsa Ad� Soyad�:
�� yerimizden talep etti�iniz �cret:
Sigara kullan�yor musunuz?
Evet
Hay�r
Seyahat etmeye engel bir durumunuz var m�?
Evet
Hay�r
Mesai saatleri d���nda �al��abilir misiniz?
Evet
Hay�r
Vardiyal� �al��abilir misiniz?
Evet
Hay�r
S�r�c� ehliyetiniz varsa s�n�f�:
�YES� OLDU�UNUZ KURULU�LAR
Dernek, meslek odalar�, kul�pler...
Kurulu� �smi, Adresi:
�yelik:
Tarih:
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Y�l
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
HAKKINIZDA B�LG� ALINAB�LECEK K���LER
Referanslar:
�lk b�l�me �al��t���n�z veya �al��makta oldu�unuz kurumdan y�netici/amriniz, ikinci b�l�me e�itim s�reciniz s�ras�nda hakk�n�zda bilgi sahibi olan ki�i, son b�l�me ise sizin tercih etti�iniz, hakk�n�zda t�m bilgileri alabilece�imiz ki�inin isim, adres ve telefon numaralar�n� yaz�n�z.
Amiriniz / Y�neticiniz
E�itmen / Akademisyen
Sizin Se�ti�iniz Ki�i
Ad� Soyad�:
Adres:
Telefon:
Bu formdaki bilgiler tamamen gizli tutulacakt�r.