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Simple Webform with PHP

$30-250 USD

Completed
Posted about 12 years ago

$30-250 USD

Paid on delivery
See attached forms. I need a web app that will enter records as seen in the Excel FORM attached to this document. I prefer PHP and mySQL as I will be hosting locally on my System running XAMPP or WAMP The Following will be required: - Web form to Enter Records - Search page to query records and print out result - Time Stamp on every record Entered Field Name Field Type Date: Calender Selection Surname Text Field First Name Text Field Sex Drop Down Selection (Male/Female) Age group Drop down selection (Under 18/18-30/30+/40+/50+/60+) Occupation Text Field Contact Number (s) Phone Number Home Address Text Box Nearest Bus Stop Text Box Email Email Address Can we pay you a visit? Drop Down Selection (Yes/No) If yes, where Address to Visit: Drop Down Selection (Home/Office) Office Address Text Field Marital Status Drop Down Selection (Single/Married/Divorced/Widowed) Born Again? Drop Down Selection (Yes/No) How did you hear about COZA? Drop Down Selection (Friend/Handbill/Radio/Evangelism/Internet/Others) Why did you come to Church today? Drop Down Selection (Invited/Live in the Area/Visiting the City of Abuja/Curious About Christianity/Heard about the Church) Would you like to make COZA your local church Drop Down Selection (Yes/No) Special Request Check Box Selection (Findout more about COZA/Request prayers for a particular thing/Speak to someone about my Faith) Comments about Service Text Box I want search to be perfomed on the following: Date Name (First Name and Surname) Phone Number Sex Age Group Occupation Can we pay you a visit Marital Status Born Again? How did you hear about COZA Special Request The Search Result Summary Page should contain the following fields Surname First Name Phone Number EMail Address Sex Marital Status Age Group. When you click on any of the names in the result page, a popup page should be displayed showing all the information entered about the individual. The page should also have a password protection system. There will be 3 users Administator - Can Add, Edit, Remove and Search for records Manager Can Add, Edit and search Editor Can Search/View Phone Number
Project ID: 1430249

About the project

19 proposals
Remote project
Active 12 yrs ago

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Lets do it with AukInt.
$60 USD in 1 day
4.9 (69 reviews)
6.1
6.1
19 freelancers are bidding on average $97 USD for this job
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Lets do this. See PMB.
$120 USD in 4 days
4.8 (110 reviews)
6.8
6.8
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Hello, I can do make the forms as per your details. Ready to start immediately. Thanks & Regards, SevenStar Infotech
$100 USD in 1 day
4.7 (60 reviews)
6.9
6.9
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Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx Ram Webzin Infotech
$100 USD in 2 days
5.0 (53 reviews)
6.2
6.2
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we can do it with PHP AJAX so will be much attractive please check pmb
$100 USD in 2 days
4.6 (42 reviews)
6.6
6.6
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Hello, i am interested.
$120 USD in 6 days
4.8 (104 reviews)
6.2
6.2
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Hi, we have read your requirements. we will develop using php and mysql. Thank you
$60 USD in 2 days
4.6 (26 reviews)
6.0
6.0
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Hi, This is really simple task. Please see private message for details. Thanks
$98 USD in 2 days
4.6 (51 reviews)
5.0
5.0
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*********** Can i have this opportunity to work with you ***********
$110 USD in 5 days
5.0 (21 reviews)
4.8
4.8
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hi, please check PM
$70 USD in 1 day
5.0 (6 reviews)
4.1
4.1
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I have 4 years experience in designing websites and web-based application, you absolutely believe in me, look forward to working! Thanks and Best Regards.
$250 USD in 5 days
4.9 (11 reviews)
3.7
3.7
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Hello Sir, I will do this quickly without any error.
$99 USD in 1 day
5.0 (11 reviews)
3.8
3.8
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Hello Sir, We are new to freelancers. Me and my team are well experienced in web development project. We can provide you with 100% job satisfaction guarantee. Thank You.
$100 USD in 2 days
0.0 (0 reviews)
0.0
0.0
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Hi , I am ready to start project.
$85 USD in 1 day
0.0 (0 reviews)
0.0
0.0
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i can do :)
$120 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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Kindly check the personal message
$80 USD in 5 days
0.0 (0 reviews)
0.0
0.0
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Sir, I have read your job requirement carefully, and ready to start your project. Thanks
$50 USD in 5 days
0.0 (0 reviews)
0.0
0.0
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Hi, I am a professional web developer. I feel very much interest to develop this simple application for you. Check PM for details.
$40 USD in 2 days
0.0 (1 review)
0.0
0.0

About the client

Flag of NIGERIA
Wuse2, Nigeria
4.9
9
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Member since Dec 3, 2011

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