evrensigorta.com Open in urlscan Pro
152.89.37.234 Public Scan

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URL:
https://evrensigorta.com/
Submission: On July 19 via api (July 19th 2023, 4:32:09 pm UTC) from TR — Scanned from DE

Form analysis
5 forms found in the DOM

POST /?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE

<form id="wpforms-form-3097" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="3097" method="post" enctype="multipart/form-data" action="/?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE"
  data-token="eb2dc7b2acd3caf0fcca12892be2a6a6" novalidate="novalidate">
  <div class="wpforms-head-container">
    <div class="wpforms-title">Şubelik için Başvuru Formu</div>
  </div><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-field-container">
    <div id="wpforms-3097-field_21-container" class="wpforms-field wpforms-field-layout" data-field-id="21"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-3097-field_21">Layout</label>
      <div class="wpforms-field-layout-columns wpforms-field-layout-preset-50-50">
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_1-container" class="wpforms-field wpforms-field-name" data-field-id="1"><label class="wpforms-field-label" for="wpforms-3097-field_1">Adınız Soyadınız <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_1" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][1]" required=""></div>
          <div id="wpforms-3097-field_4-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="4"><label class="wpforms-field-label" for="wpforms-3097-field_4">İl Seçiniz <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_4" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][4]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="ADANA">ADANA</option>
              <option value="ADIYAMAN">ADIYAMAN</option>
              <option value="AFYONKARAHİSAR">AFYONKARAHİSAR</option>
              <option value="AĞRI">AĞRI</option>
              <option value="AKSARAY">AKSARAY</option>
              <option value="AMASYA">AMASYA</option>
              <option value="ANKARA">ANKARA</option>
              <option value="ANTALYA">ANTALYA</option>
              <option value="ARDAHAN">ARDAHAN</option>
              <option value="ARTVİN">ARTVİN</option>
              <option value="AYDIN">AYDIN</option>
              <option value="BALIKESİR">BALIKESİR</option>
              <option value="BARTIN">BARTIN</option>
              <option value="BATMAN">BATMAN</option>
              <option value="BAYBURT">BAYBURT</option>
              <option value="BİLECİK">BİLECİK</option>
              <option value="BİNGÖL">BİNGÖL</option>
              <option value="BİTLİS">BİTLİS</option>
              <option value="BOLU">BOLU</option>
              <option value="BURDUR">BURDUR</option>
              <option value="BURSA">BURSA</option>
              <option value="ÇANAKKALE">ÇANAKKALE</option>
              <option value="ÇANKIRI">ÇANKIRI</option>
              <option value="ÇORUM">ÇORUM</option>
              <option value="DENİZLİ">DENİZLİ</option>
              <option value="DİYARBAKIR">DİYARBAKIR</option>
              <option value="DÜZCE">DÜZCE</option>
              <option value="EDİRNE">EDİRNE</option>
              <option value="ELAZIĞ">ELAZIĞ</option>
              <option value="ERZİNCAN">ERZİNCAN</option>
              <option value="ERZURUM">ERZURUM</option>
              <option value="ESKİŞEHİR">ESKİŞEHİR</option>
              <option value="GAZİANTEP">GAZİANTEP</option>
              <option value="GİRESUN">GİRESUN</option>
              <option value="GÜMÜŞHANE">GÜMÜŞHANE</option>
              <option value="HAKKARİ">HAKKARİ</option>
              <option value="HATAY">HATAY</option>
              <option value="IĞDIR">IĞDIR</option>
              <option value="ISPARTA">ISPARTA</option>
              <option value="İSTANBUL">İSTANBUL</option>
              <option value="İZMİR">İZMİR</option>
              <option value="KAHRAMANMARAŞ">KAHRAMANMARAŞ</option>
              <option value="KARABÜK">KARABÜK</option>
              <option value="KARAMAN">KARAMAN</option>
              <option value="KARS">KARS</option>
              <option value="KASTAMONU">KASTAMONU</option>
              <option value="KAYSERİ">KAYSERİ</option>
              <option value="KIRIKKALE">KIRIKKALE</option>
              <option value="KIRKLARELİ">KIRKLARELİ</option>
              <option value="KIRŞEHİR">KIRŞEHİR</option>
              <option value="KİLİS">KİLİS</option>
              <option value="KOCAELİ">KOCAELİ</option>
              <option value="KONYA">KONYA</option>
              <option value="KÜTAHYA">KÜTAHYA</option>
              <option value="MALATYA">MALATYA</option>
              <option value="MANİSA">MANİSA</option>
              <option value="MARDİN">MARDİN</option>
              <option value="MERSİN">MERSİN</option>
              <option value="MUĞLA">MUĞLA</option>
              <option value="MUŞ">MUŞ</option>
              <option value="NEVŞEHİR">NEVŞEHİR</option>
              <option value="NİĞDE">NİĞDE</option>
              <option value="ORDU">ORDU</option>
              <option value="OSMANİYE">OSMANİYE</option>
              <option value="RİZE">RİZE</option>
              <option value="SAKARYA">SAKARYA</option>
              <option value="SAMSUN">SAMSUN</option>
              <option value="SİİRT">SİİRT</option>
              <option value="SİNOP">SİNOP</option>
              <option value="SİVAS">SİVAS</option>
              <option value="ŞANLIURFA">ŞANLIURFA</option>
              <option value="ŞIRNAK">ŞIRNAK</option>
              <option value="TEKİRDAĞ">TEKİRDAĞ</option>
              <option value="TOKAT">TOKAT</option>
              <option value="TRABZON">TRABZON</option>
              <option value="TUNCELİ">TUNCELİ</option>
              <option value="UŞAK">UŞAK</option>
              <option value="VAN">VAN</option>
              <option value="YALOVA">YALOVA</option>
              <option value="YOZGAT">YOZGAT</option>
              <option value="ZONGULDAK">ZONGULDAK</option>
            </select></div>
          <div id="wpforms-3097-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-3097-field_2">E-posta Adresiniz: <span
                class="wpforms-required-label">*</span></label><input type="email" id="wpforms-3097-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" required=""></div>
          <div id="wpforms-3097-field_5-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="5"><label class="wpforms-field-label" for="wpforms-3097-field_5">Sigorta Tecrübeniz: <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_5" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][5]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="1 Yıldan Az">1 Yıldan Az</option>
              <option value="1-3 Yıl">1-3 Yıl</option>
              <option value="3-5 Yıl">3-5 Yıl</option>
              <option value="5-10 Yıl Ve Daha Fazla">5-10 Yıl Ve Daha Fazla</option>
            </select></div>
        </div>
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_16-container" class="wpforms-field wpforms-field-number" data-field-id="16"><label class="wpforms-field-label" for="wpforms-3097-field_16">Telefon Numaranız: <span
                class="wpforms-required-label">*</span></label><input type="number" pattern="\d*" id="wpforms-3097-field_16" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][16]" required=""></div>
          <div id="wpforms-3097-field_17-container" class="wpforms-field wpforms-field-text" data-field-id="17"><label class="wpforms-field-label" for="wpforms-3097-field_17">İlçe: <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_17" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][17]" required=""></div>
          <div id="wpforms-3097-field_7-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="7"><label class="wpforms-field-label" for="wpforms-3097-field_7">Segem Belgeniz var mı ? <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_7" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][7]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="Evet">Evet</option>
              <option value="Hayır">Hayır</option>
            </select></div>
          <div id="wpforms-3097-field_18-container" class="wpforms-field wpforms-field-textarea" data-field-id="18"><label class="wpforms-field-label" for="wpforms-3097-field_18">Eklemek istediğiniz başka mesajınız:</label><textarea
              id="wpforms-3097-field_18" class="wpforms-field-small" name="wpforms[fields][18]"></textarea></div>
        </div>
      </div>
    </div>
  </div>
  <div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="3097"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="3446"><button type="submit" name="wpforms[submit]"
      id="wpforms-submit-3097" class="wpforms-submit" data-alt-text="Gönderiliyor" data-submit-text="Gönder" aria-live="assertive" value="wpforms-submit">Gönder</button><img decoding="async"
      src="https://evrensigorta.com/wp-content/plugins/wpforms/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div>
</form>

POST /?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE

<form id="wpforms-form-4615" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="4615" method="post" enctype="multipart/form-data" action="/?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE"
  data-token="58a29c96ba7e4c0fec68862eb5567676" novalidate="novalidate">
  <div class="wpforms-head-container"></div><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-field-container">
    <div id="wpforms-4615-field_7-container" class="wpforms-field wpforms-field-layout" data-field-id="7"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-4615-field_7">Layout</label>
      <div class="wpforms-field-layout-columns wpforms-field-layout-preset-50-50">
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-4615-field_1-container" class="wpforms-field wpforms-field-name" data-field-id="1"><label class="wpforms-field-label" for="wpforms-4615-field_1">Adınız Soyadınız <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-4615-field_1" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][1]" required=""></div>
          <div id="wpforms-4615-field_3-container" class="wpforms-field wpforms-field-number" data-field-id="3"><label class="wpforms-field-label" for="wpforms-4615-field_3">Telefon Numaranız <span
                class="wpforms-required-label">*</span></label><input type="number" pattern="\d*" id="wpforms-4615-field_3" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][3]" required=""></div>
          <div id="wpforms-4615-field_4-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="4"><label class="wpforms-field-label" for="wpforms-4615-field_4">Hangi sigorta türünden teklif almak
              istiyorsunuz ? <span class="wpforms-required-label">*</span></label><select id="wpforms-4615-field_4" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][4]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="Sağlık Sigortası">Sağlık Sigortası</option>
              <option value="Trafik Sigortası">Trafik Sigortası</option>
              <option value="Kasko Sigortası">Kasko Sigortası</option>
              <option value="DASK Sigortası">DASK Sigortası</option>
              <option value="Konut Sigortası">Konut Sigortası</option>
              <option value="Seyahat Sağlık Sigortası">Seyahat Sağlık Sigortası</option>
              <option value="Yabancı Sağlık Sigortası">Yabancı Sağlık Sigortası</option>
            </select></div>
        </div>
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-4615-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-4615-field_2">E-Posta adresiniz <span class="wpforms-required-label">*</span></label><input
              type="email" id="wpforms-4615-field_2" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][2]" required=""></div>
          <div id="wpforms-4615-field_5-container" class="wpforms-field wpforms-field-textarea" data-field-id="5"><label class="wpforms-field-label" for="wpforms-4615-field_5">Eklemek istedikleriniz diğer mesajlar</label><textarea
              id="wpforms-4615-field_5" class="wpforms-field-medium" name="wpforms[fields][5]"></textarea></div>
        </div>
      </div>
    </div>
  </div>
  <div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="4615"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="3446"><button type="submit" name="wpforms[submit]"
      id="wpforms-submit-4615" class="wpforms-submit" data-alt-text="Gönderiliyor..." data-submit-text="Teklif Al" aria-live="assertive" value="wpforms-submit">Teklif Al</button><img decoding="async"
      src="https://evrensigorta.com/wp-content/plugins/wpforms/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div>
</form>

POST /?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE

<form id="wpforms-form-3097" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="3097" method="post" enctype="multipart/form-data" action="/?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE"
  data-token="eb2dc7b2acd3caf0fcca12892be2a6a6" novalidate="novalidate">
  <div class="wpforms-head-container">
    <div class="wpforms-title">Şubelik için Başvuru Formu</div>
  </div><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-field-container">
    <div id="wpforms-3097-field_21-container" class="wpforms-field wpforms-field-layout" data-field-id="21"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-3097-field_21">Layout</label>
      <div class="wpforms-field-layout-columns wpforms-field-layout-preset-50-50">
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_1-container" class="wpforms-field wpforms-field-name" data-field-id="1"><label class="wpforms-field-label" for="wpforms-3097-field_1">Adınız Soyadınız <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_1" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][1]" required=""></div>
          <div id="wpforms-3097-field_4-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="4"><label class="wpforms-field-label" for="wpforms-3097-field_4">İl Seçiniz <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_4" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][4]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="ADANA">ADANA</option>
              <option value="ADIYAMAN">ADIYAMAN</option>
              <option value="AFYONKARAHİSAR">AFYONKARAHİSAR</option>
              <option value="AĞRI">AĞRI</option>
              <option value="AKSARAY">AKSARAY</option>
              <option value="AMASYA">AMASYA</option>
              <option value="ANKARA">ANKARA</option>
              <option value="ANTALYA">ANTALYA</option>
              <option value="ARDAHAN">ARDAHAN</option>
              <option value="ARTVİN">ARTVİN</option>
              <option value="AYDIN">AYDIN</option>
              <option value="BALIKESİR">BALIKESİR</option>
              <option value="BARTIN">BARTIN</option>
              <option value="BATMAN">BATMAN</option>
              <option value="BAYBURT">BAYBURT</option>
              <option value="BİLECİK">BİLECİK</option>
              <option value="BİNGÖL">BİNGÖL</option>
              <option value="BİTLİS">BİTLİS</option>
              <option value="BOLU">BOLU</option>
              <option value="BURDUR">BURDUR</option>
              <option value="BURSA">BURSA</option>
              <option value="ÇANAKKALE">ÇANAKKALE</option>
              <option value="ÇANKIRI">ÇANKIRI</option>
              <option value="ÇORUM">ÇORUM</option>
              <option value="DENİZLİ">DENİZLİ</option>
              <option value="DİYARBAKIR">DİYARBAKIR</option>
              <option value="DÜZCE">DÜZCE</option>
              <option value="EDİRNE">EDİRNE</option>
              <option value="ELAZIĞ">ELAZIĞ</option>
              <option value="ERZİNCAN">ERZİNCAN</option>
              <option value="ERZURUM">ERZURUM</option>
              <option value="ESKİŞEHİR">ESKİŞEHİR</option>
              <option value="GAZİANTEP">GAZİANTEP</option>
              <option value="GİRESUN">GİRESUN</option>
              <option value="GÜMÜŞHANE">GÜMÜŞHANE</option>
              <option value="HAKKARİ">HAKKARİ</option>
              <option value="HATAY">HATAY</option>
              <option value="IĞDIR">IĞDIR</option>
              <option value="ISPARTA">ISPARTA</option>
              <option value="İSTANBUL">İSTANBUL</option>
              <option value="İZMİR">İZMİR</option>
              <option value="KAHRAMANMARAŞ">KAHRAMANMARAŞ</option>
              <option value="KARABÜK">KARABÜK</option>
              <option value="KARAMAN">KARAMAN</option>
              <option value="KARS">KARS</option>
              <option value="KASTAMONU">KASTAMONU</option>
              <option value="KAYSERİ">KAYSERİ</option>
              <option value="KIRIKKALE">KIRIKKALE</option>
              <option value="KIRKLARELİ">KIRKLARELİ</option>
              <option value="KIRŞEHİR">KIRŞEHİR</option>
              <option value="KİLİS">KİLİS</option>
              <option value="KOCAELİ">KOCAELİ</option>
              <option value="KONYA">KONYA</option>
              <option value="KÜTAHYA">KÜTAHYA</option>
              <option value="MALATYA">MALATYA</option>
              <option value="MANİSA">MANİSA</option>
              <option value="MARDİN">MARDİN</option>
              <option value="MERSİN">MERSİN</option>
              <option value="MUĞLA">MUĞLA</option>
              <option value="MUŞ">MUŞ</option>
              <option value="NEVŞEHİR">NEVŞEHİR</option>
              <option value="NİĞDE">NİĞDE</option>
              <option value="ORDU">ORDU</option>
              <option value="OSMANİYE">OSMANİYE</option>
              <option value="RİZE">RİZE</option>
              <option value="SAKARYA">SAKARYA</option>
              <option value="SAMSUN">SAMSUN</option>
              <option value="SİİRT">SİİRT</option>
              <option value="SİNOP">SİNOP</option>
              <option value="SİVAS">SİVAS</option>
              <option value="ŞANLIURFA">ŞANLIURFA</option>
              <option value="ŞIRNAK">ŞIRNAK</option>
              <option value="TEKİRDAĞ">TEKİRDAĞ</option>
              <option value="TOKAT">TOKAT</option>
              <option value="TRABZON">TRABZON</option>
              <option value="TUNCELİ">TUNCELİ</option>
              <option value="UŞAK">UŞAK</option>
              <option value="VAN">VAN</option>
              <option value="YALOVA">YALOVA</option>
              <option value="YOZGAT">YOZGAT</option>
              <option value="ZONGULDAK">ZONGULDAK</option>
            </select></div>
          <div id="wpforms-3097-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-3097-field_2">E-posta Adresiniz: <span
                class="wpforms-required-label">*</span></label><input type="email" id="wpforms-3097-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" required=""></div>
          <div id="wpforms-3097-field_5-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="5"><label class="wpforms-field-label" for="wpforms-3097-field_5">Sigorta Tecrübeniz: <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_5" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][5]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="1 Yıldan Az">1 Yıldan Az</option>
              <option value="1-3 Yıl">1-3 Yıl</option>
              <option value="3-5 Yıl">3-5 Yıl</option>
              <option value="5-10 Yıl Ve Daha Fazla">5-10 Yıl Ve Daha Fazla</option>
            </select></div>
        </div>
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_16-container" class="wpforms-field wpforms-field-number" data-field-id="16"><label class="wpforms-field-label" for="wpforms-3097-field_16">Telefon Numaranız: <span
                class="wpforms-required-label">*</span></label><input type="number" pattern="\d*" id="wpforms-3097-field_16" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][16]" required=""></div>
          <div id="wpforms-3097-field_17-container" class="wpforms-field wpforms-field-text" data-field-id="17"><label class="wpforms-field-label" for="wpforms-3097-field_17">İlçe: <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_17" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][17]" required=""></div>
          <div id="wpforms-3097-field_7-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="7"><label class="wpforms-field-label" for="wpforms-3097-field_7">Segem Belgeniz var mı ? <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_7" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][7]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="Evet">Evet</option>
              <option value="Hayır">Hayır</option>
            </select></div>
          <div id="wpforms-3097-field_18-container" class="wpforms-field wpforms-field-textarea" data-field-id="18"><label class="wpforms-field-label" for="wpforms-3097-field_18">Eklemek istediğiniz başka mesajınız:</label><textarea
              id="wpforms-3097-field_18" class="wpforms-field-small" name="wpforms[fields][18]"></textarea></div>
        </div>
      </div>
    </div>
  </div>
  <div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="3097"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="3446"><button type="submit" name="wpforms[submit]"
      id="wpforms-submit-3097" class="wpforms-submit" data-alt-text="Gönderiliyor" data-submit-text="Gönder" aria-live="assertive" value="wpforms-submit">Gönder</button><img decoding="async"
      src="https://evrensigorta.com/wp-content/plugins/wpforms/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div>
</form>

POST /?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE

<form id="wpforms-form-3097" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="3097" method="post" enctype="multipart/form-data" action="/?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE"
  data-token="eb2dc7b2acd3caf0fcca12892be2a6a6" novalidate="novalidate">
  <div class="wpforms-head-container">
    <div class="wpforms-title">Şubelik için Başvuru Formu</div>
  </div><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-field-container">
    <div id="wpforms-3097-field_21-container" class="wpforms-field wpforms-field-layout" data-field-id="21"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-3097-field_21">Layout</label>
      <div class="wpforms-field-layout-columns wpforms-field-layout-preset-50-50">
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_1-container" class="wpforms-field wpforms-field-name" data-field-id="1"><label class="wpforms-field-label" for="wpforms-3097-field_1">Adınız Soyadınız <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_1" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][1]" required=""></div>
          <div id="wpforms-3097-field_4-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="4"><label class="wpforms-field-label" for="wpforms-3097-field_4">İl Seçiniz <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_4" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][4]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="ADANA">ADANA</option>
              <option value="ADIYAMAN">ADIYAMAN</option>
              <option value="AFYONKARAHİSAR">AFYONKARAHİSAR</option>
              <option value="AĞRI">AĞRI</option>
              <option value="AKSARAY">AKSARAY</option>
              <option value="AMASYA">AMASYA</option>
              <option value="ANKARA">ANKARA</option>
              <option value="ANTALYA">ANTALYA</option>
              <option value="ARDAHAN">ARDAHAN</option>
              <option value="ARTVİN">ARTVİN</option>
              <option value="AYDIN">AYDIN</option>
              <option value="BALIKESİR">BALIKESİR</option>
              <option value="BARTIN">BARTIN</option>
              <option value="BATMAN">BATMAN</option>
              <option value="BAYBURT">BAYBURT</option>
              <option value="BİLECİK">BİLECİK</option>
              <option value="BİNGÖL">BİNGÖL</option>
              <option value="BİTLİS">BİTLİS</option>
              <option value="BOLU">BOLU</option>
              <option value="BURDUR">BURDUR</option>
              <option value="BURSA">BURSA</option>
              <option value="ÇANAKKALE">ÇANAKKALE</option>
              <option value="ÇANKIRI">ÇANKIRI</option>
              <option value="ÇORUM">ÇORUM</option>
              <option value="DENİZLİ">DENİZLİ</option>
              <option value="DİYARBAKIR">DİYARBAKIR</option>
              <option value="DÜZCE">DÜZCE</option>
              <option value="EDİRNE">EDİRNE</option>
              <option value="ELAZIĞ">ELAZIĞ</option>
              <option value="ERZİNCAN">ERZİNCAN</option>
              <option value="ERZURUM">ERZURUM</option>
              <option value="ESKİŞEHİR">ESKİŞEHİR</option>
              <option value="GAZİANTEP">GAZİANTEP</option>
              <option value="GİRESUN">GİRESUN</option>
              <option value="GÜMÜŞHANE">GÜMÜŞHANE</option>
              <option value="HAKKARİ">HAKKARİ</option>
              <option value="HATAY">HATAY</option>
              <option value="IĞDIR">IĞDIR</option>
              <option value="ISPARTA">ISPARTA</option>
              <option value="İSTANBUL">İSTANBUL</option>
              <option value="İZMİR">İZMİR</option>
              <option value="KAHRAMANMARAŞ">KAHRAMANMARAŞ</option>
              <option value="KARABÜK">KARABÜK</option>
              <option value="KARAMAN">KARAMAN</option>
              <option value="KARS">KARS</option>
              <option value="KASTAMONU">KASTAMONU</option>
              <option value="KAYSERİ">KAYSERİ</option>
              <option value="KIRIKKALE">KIRIKKALE</option>
              <option value="KIRKLARELİ">KIRKLARELİ</option>
              <option value="KIRŞEHİR">KIRŞEHİR</option>
              <option value="KİLİS">KİLİS</option>
              <option value="KOCAELİ">KOCAELİ</option>
              <option value="KONYA">KONYA</option>
              <option value="KÜTAHYA">KÜTAHYA</option>
              <option value="MALATYA">MALATYA</option>
              <option value="MANİSA">MANİSA</option>
              <option value="MARDİN">MARDİN</option>
              <option value="MERSİN">MERSİN</option>
              <option value="MUĞLA">MUĞLA</option>
              <option value="MUŞ">MUŞ</option>
              <option value="NEVŞEHİR">NEVŞEHİR</option>
              <option value="NİĞDE">NİĞDE</option>
              <option value="ORDU">ORDU</option>
              <option value="OSMANİYE">OSMANİYE</option>
              <option value="RİZE">RİZE</option>
              <option value="SAKARYA">SAKARYA</option>
              <option value="SAMSUN">SAMSUN</option>
              <option value="SİİRT">SİİRT</option>
              <option value="SİNOP">SİNOP</option>
              <option value="SİVAS">SİVAS</option>
              <option value="ŞANLIURFA">ŞANLIURFA</option>
              <option value="ŞIRNAK">ŞIRNAK</option>
              <option value="TEKİRDAĞ">TEKİRDAĞ</option>
              <option value="TOKAT">TOKAT</option>
              <option value="TRABZON">TRABZON</option>
              <option value="TUNCELİ">TUNCELİ</option>
              <option value="UŞAK">UŞAK</option>
              <option value="VAN">VAN</option>
              <option value="YALOVA">YALOVA</option>
              <option value="YOZGAT">YOZGAT</option>
              <option value="ZONGULDAK">ZONGULDAK</option>
            </select></div>
          <div id="wpforms-3097-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-3097-field_2">E-posta Adresiniz: <span
                class="wpforms-required-label">*</span></label><input type="email" id="wpforms-3097-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" required=""></div>
          <div id="wpforms-3097-field_5-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="5"><label class="wpforms-field-label" for="wpforms-3097-field_5">Sigorta Tecrübeniz: <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_5" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][5]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="1 Yıldan Az">1 Yıldan Az</option>
              <option value="1-3 Yıl">1-3 Yıl</option>
              <option value="3-5 Yıl">3-5 Yıl</option>
              <option value="5-10 Yıl Ve Daha Fazla">5-10 Yıl Ve Daha Fazla</option>
            </select></div>
        </div>
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_16-container" class="wpforms-field wpforms-field-number" data-field-id="16"><label class="wpforms-field-label" for="wpforms-3097-field_16">Telefon Numaranız: <span
                class="wpforms-required-label">*</span></label><input type="number" pattern="\d*" id="wpforms-3097-field_16" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][16]" required=""></div>
          <div id="wpforms-3097-field_17-container" class="wpforms-field wpforms-field-text" data-field-id="17"><label class="wpforms-field-label" for="wpforms-3097-field_17">İlçe: <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_17" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][17]" required=""></div>
          <div id="wpforms-3097-field_7-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="7"><label class="wpforms-field-label" for="wpforms-3097-field_7">Segem Belgeniz var mı ? <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_7" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][7]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="Evet">Evet</option>
              <option value="Hayır">Hayır</option>
            </select></div>
          <div id="wpforms-3097-field_18-container" class="wpforms-field wpforms-field-textarea" data-field-id="18"><label class="wpforms-field-label" for="wpforms-3097-field_18">Eklemek istediğiniz başka mesajınız:</label><textarea
              id="wpforms-3097-field_18" class="wpforms-field-small" name="wpforms[fields][18]"></textarea></div>
        </div>
      </div>
    </div>
  </div>
  <div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="3097"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="3446"><button type="submit" name="wpforms[submit]"
      id="wpforms-submit-3097" class="wpforms-submit" data-alt-text="Gönderiliyor" data-submit-text="Gönder" aria-live="assertive" value="wpforms-submit">Gönder</button><img decoding="async"
      src="https://evrensigorta.com/wp-content/plugins/wpforms/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div>
</form>

POST /?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE

<form id="wpforms-form-3097" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="3097" method="post" enctype="multipart/form-data" action="/?gclid=EAIaIQobChMInryw_fiXgAMVAAIGAB07AwdPEAAYASAAEgIVy_D_BwE"
  data-token="eb2dc7b2acd3caf0fcca12892be2a6a6" novalidate="novalidate">
  <div class="wpforms-head-container">
    <div class="wpforms-title">Şubelik için Başvuru Formu</div>
  </div><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
  <div class="wpforms-field-container">
    <div id="wpforms-3097-field_21-container" class="wpforms-field wpforms-field-layout" data-field-id="21"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-3097-field_21">Layout</label>
      <div class="wpforms-field-layout-columns wpforms-field-layout-preset-50-50">
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_1-container" class="wpforms-field wpforms-field-name" data-field-id="1"><label class="wpforms-field-label" for="wpforms-3097-field_1">Adınız Soyadınız <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_1" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][1]" required=""></div>
          <div id="wpforms-3097-field_4-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="4"><label class="wpforms-field-label" for="wpforms-3097-field_4">İl Seçiniz <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_4" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][4]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="ADANA">ADANA</option>
              <option value="ADIYAMAN">ADIYAMAN</option>
              <option value="AFYONKARAHİSAR">AFYONKARAHİSAR</option>
              <option value="AĞRI">AĞRI</option>
              <option value="AKSARAY">AKSARAY</option>
              <option value="AMASYA">AMASYA</option>
              <option value="ANKARA">ANKARA</option>
              <option value="ANTALYA">ANTALYA</option>
              <option value="ARDAHAN">ARDAHAN</option>
              <option value="ARTVİN">ARTVİN</option>
              <option value="AYDIN">AYDIN</option>
              <option value="BALIKESİR">BALIKESİR</option>
              <option value="BARTIN">BARTIN</option>
              <option value="BATMAN">BATMAN</option>
              <option value="BAYBURT">BAYBURT</option>
              <option value="BİLECİK">BİLECİK</option>
              <option value="BİNGÖL">BİNGÖL</option>
              <option value="BİTLİS">BİTLİS</option>
              <option value="BOLU">BOLU</option>
              <option value="BURDUR">BURDUR</option>
              <option value="BURSA">BURSA</option>
              <option value="ÇANAKKALE">ÇANAKKALE</option>
              <option value="ÇANKIRI">ÇANKIRI</option>
              <option value="ÇORUM">ÇORUM</option>
              <option value="DENİZLİ">DENİZLİ</option>
              <option value="DİYARBAKIR">DİYARBAKIR</option>
              <option value="DÜZCE">DÜZCE</option>
              <option value="EDİRNE">EDİRNE</option>
              <option value="ELAZIĞ">ELAZIĞ</option>
              <option value="ERZİNCAN">ERZİNCAN</option>
              <option value="ERZURUM">ERZURUM</option>
              <option value="ESKİŞEHİR">ESKİŞEHİR</option>
              <option value="GAZİANTEP">GAZİANTEP</option>
              <option value="GİRESUN">GİRESUN</option>
              <option value="GÜMÜŞHANE">GÜMÜŞHANE</option>
              <option value="HAKKARİ">HAKKARİ</option>
              <option value="HATAY">HATAY</option>
              <option value="IĞDIR">IĞDIR</option>
              <option value="ISPARTA">ISPARTA</option>
              <option value="İSTANBUL">İSTANBUL</option>
              <option value="İZMİR">İZMİR</option>
              <option value="KAHRAMANMARAŞ">KAHRAMANMARAŞ</option>
              <option value="KARABÜK">KARABÜK</option>
              <option value="KARAMAN">KARAMAN</option>
              <option value="KARS">KARS</option>
              <option value="KASTAMONU">KASTAMONU</option>
              <option value="KAYSERİ">KAYSERİ</option>
              <option value="KIRIKKALE">KIRIKKALE</option>
              <option value="KIRKLARELİ">KIRKLARELİ</option>
              <option value="KIRŞEHİR">KIRŞEHİR</option>
              <option value="KİLİS">KİLİS</option>
              <option value="KOCAELİ">KOCAELİ</option>
              <option value="KONYA">KONYA</option>
              <option value="KÜTAHYA">KÜTAHYA</option>
              <option value="MALATYA">MALATYA</option>
              <option value="MANİSA">MANİSA</option>
              <option value="MARDİN">MARDİN</option>
              <option value="MERSİN">MERSİN</option>
              <option value="MUĞLA">MUĞLA</option>
              <option value="MUŞ">MUŞ</option>
              <option value="NEVŞEHİR">NEVŞEHİR</option>
              <option value="NİĞDE">NİĞDE</option>
              <option value="ORDU">ORDU</option>
              <option value="OSMANİYE">OSMANİYE</option>
              <option value="RİZE">RİZE</option>
              <option value="SAKARYA">SAKARYA</option>
              <option value="SAMSUN">SAMSUN</option>
              <option value="SİİRT">SİİRT</option>
              <option value="SİNOP">SİNOP</option>
              <option value="SİVAS">SİVAS</option>
              <option value="ŞANLIURFA">ŞANLIURFA</option>
              <option value="ŞIRNAK">ŞIRNAK</option>
              <option value="TEKİRDAĞ">TEKİRDAĞ</option>
              <option value="TOKAT">TOKAT</option>
              <option value="TRABZON">TRABZON</option>
              <option value="TUNCELİ">TUNCELİ</option>
              <option value="UŞAK">UŞAK</option>
              <option value="VAN">VAN</option>
              <option value="YALOVA">YALOVA</option>
              <option value="YOZGAT">YOZGAT</option>
              <option value="ZONGULDAK">ZONGULDAK</option>
            </select></div>
          <div id="wpforms-3097-field_2-container" class="wpforms-field wpforms-field-email" data-field-id="2"><label class="wpforms-field-label" for="wpforms-3097-field_2">E-posta Adresiniz: <span
                class="wpforms-required-label">*</span></label><input type="email" id="wpforms-3097-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" required=""></div>
          <div id="wpforms-3097-field_5-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="5"><label class="wpforms-field-label" for="wpforms-3097-field_5">Sigorta Tecrübeniz: <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_5" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][5]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="1 Yıldan Az">1 Yıldan Az</option>
              <option value="1-3 Yıl">1-3 Yıl</option>
              <option value="3-5 Yıl">3-5 Yıl</option>
              <option value="5-10 Yıl Ve Daha Fazla">5-10 Yıl Ve Daha Fazla</option>
            </select></div>
        </div>
        <div class="wpforms-layout-column wpforms-layout-column-50">
          <div id="wpforms-3097-field_16-container" class="wpforms-field wpforms-field-number" data-field-id="16"><label class="wpforms-field-label" for="wpforms-3097-field_16">Telefon Numaranız: <span
                class="wpforms-required-label">*</span></label><input type="number" pattern="\d*" id="wpforms-3097-field_16" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][16]" required=""></div>
          <div id="wpforms-3097-field_17-container" class="wpforms-field wpforms-field-text" data-field-id="17"><label class="wpforms-field-label" for="wpforms-3097-field_17">İlçe: <span class="wpforms-required-label">*</span></label><input
              type="text" id="wpforms-3097-field_17" class="wpforms-field-small wpforms-field-required" name="wpforms[fields][17]" required=""></div>
          <div id="wpforms-3097-field_7-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="7"><label class="wpforms-field-label" for="wpforms-3097-field_7">Segem Belgeniz var mı ? <span
                class="wpforms-required-label">*</span></label><select id="wpforms-3097-field_7" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][7]" required="required">
              <option value="" class="placeholder" disabled="" selected="selected">Seçiniz</option>
              <option value="Evet">Evet</option>
              <option value="Hayır">Hayır</option>
            </select></div>
          <div id="wpforms-3097-field_18-container" class="wpforms-field wpforms-field-textarea" data-field-id="18"><label class="wpforms-field-label" for="wpforms-3097-field_18">Eklemek istediğiniz başka mesajınız:</label><textarea
              id="wpforms-3097-field_18" class="wpforms-field-small" name="wpforms[fields][18]"></textarea></div>
        </div>
      </div>
    </div>
  </div>
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