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create web form to collect emplyment application information

$30-250 USD

In Progress
Posted almost 6 years ago

$30-250 USD

Paid on delivery
I need a form created for my website that will collect applicants information such as name phone social security number date of birth also the ability to upload their driver's license picture and vehicle insurance or take a picture from their mobile device and upload [login to view URL] will need a database to collect information with login for admin in also needs to have google captcha and multi-step form for the fille our name and address and email then the must press next for the next part to appear​ . they must enter in all required information or they cant move on to the next step.
Project ID: 17052097

About the project

32 proposals
Remote project
Active 6 yrs ago

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32 freelancers are bidding on average $152 USD for this job
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Hi, I Can Start Now Have a look at my Profile as well I have Created atleast 100 of Wordpress Forms Websites with Captcha Thanks
$220 USD in 4 days
4.7 (568 reviews)
9.1
9.1
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Hello, and thanks for the opportunity to bid on your project. https://www.freelancer.com/u/TenStar718.html I am an expert in many different area’s of web and mobile applications based on the following languages: Web(PHP, MySql, HTML5, Java) and Mobile (Native and Hybrid). I am also an expert in many different frameworks such as CodeIgniter, Laravel, Spring and jQuery. I have over 5 years industry experience in development and graduated with a Masters Degree in IT from the Hong Kong University. My PHP L1 exam score in Freelancer places me in the top 3% of developers. Please have confidence in my skill and quality of work. I assure, I will do my best to work with you on your project to present the best possible outcome for you and your customers. I will also do my best to correct any area of work where quality comes into question, I want to have pride in my service to your company and the final product provided. While I am happy to make adjustments and alterations as your project progresses please understand that I am a dedicated freelancer and any work that is substantially different from the project description may need the awarded fee to be re-negotiated. Feel free to contact me if you have any questions, and please review my 5 star profile. I look forward to working together in partnership on your project and into the future. Regards
$222 USD in 3 days
4.9 (274 reviews)
8.8
8.8
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Hi, This is Richa, I have gone through your project detail , I have more than 6 years of experience as a web developer. I am very much sure I can complete your project Sucessfully and after completion of the project I am always available for you because we always believe me Long Term Relationship and as per me and my company these relation are build based on Good Services only and we are believe on the same. Some of my skills are mentioned below: HTML5, Bootstrap, JavaScript, jQuery, Angular JS, PHP, MySQL, WordPress, Magento, Laravel. Thanks, Bright Infotech.
$200 USD in 3 days
4.9 (249 reviews)
7.3
7.3
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Hello, I can help you creating an application with multi step wizard form along with database back-end. Please provide more details about the fields you need in the form and we can get started!
$200 USD in 7 days
4.9 (140 reviews)
6.8
6.8
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lets start the work. Please come for discussion. thanks ============================================================
$105 USD in 3 days
5.0 (3 reviews)
5.2
5.2
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Pretty detailed description, only provide exact form and proposed layout design, and we could start working. Please respond and we can discuss in more details. Best regards.
$55 USD in 1 day
5.0 (17 reviews)
4.3
4.3
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Hello, I am web Designer & developer for the past 2+ years who dreams in specializes in creating dynamic and beautiful web-pages and codes and design. I am a fast closer, My goal is to satisfy all my clients. so let's get started :) Let's go together with your project in detail and You feel free to shoot any query related to our work and team. We are proficient in mentioned below. :- ✦ HTML 4 & HTML 5 ✦ CSS & CSS3 ✦ PSD to HTML & HTML to wordpress ♚ ✦ Shopify ✦ EXPERT in WORDPRES ( Ongoing Maintenance )♚♚ ✦ Custom WP themes ♚ ✦ Responsiveness ✦ Search Optimization Engine[SEO on page] ♚ ✦ Ecommerce website ✦ Adobe Photoshop ( Logo Design, Banner design ) ✦ MailChimp (Email template) ✦ Built - Landing Pages -> Will be waiting your response Thanks you
$150 USD in 7 days
5.0 (23 reviews)
3.9
3.9
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Hi... this task is easy for me .. I am software engineer working on web and desktop apps.. I can show you demo of my products if you need...
$155 USD in 3 days
5.0 (5 reviews)
3.7
3.7
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Hi dear how are you :) Come on chat so let we disscuss on project deatails and budget :) I have gone through your overall requirements, key objectives, budgets and measurable targets and have worked on similar projects to what you are looking for. Relevant Skills and Experience We, team have professional web developers & Designers with specialization in Designing(PSD, AI, Infographics, Logo) & Development (Wordpress, E-Commerce , PHP, ASP.Net, SQL) with > 4 years of exp
$122 USD in 3 days
5.0 (10 reviews)
3.6
3.6
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Hi, I am interested in developing web form for collecting details with driving license image and captcha etc. I have two years experience in developing web applications with strong knowledge of core and advanced PHP, WordPress, Code Ignitor, Responsive and attractive UI, Dynamic Data Handling, Multi steps form, AJAX, JSON, MySQL. Kindly contact me so we can discuss further. Thanks.
$70 USD in 4 days
5.0 (8 reviews)
3.2
3.2
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Hey . I read your description i make your website with this requriments. i can gave you daily update of your project and i can compalet it i 3 day .. award me if i am suitable for this project.
$55 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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hello give me the project
$155 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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Dear Client, With more than 5 years of experience in JAVA, I am confident of resolving your query and will be pleased to assist you further. Given a chance I promise to deliver the services timely and accurately. Looking forward to your response. Regards, Chitranshu
$155 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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My Skills: Web developing: 1- Php (Codeigniter, laravel, Restfull API, ...) 2- Javascript 3- Html 4- Css 5- TypeScript 6- SQL 7- Angular CLI (2+)
$166 USD in 3 days
0.0 (0 reviews)
0.0
0.0

About the client

Flag of UNITED STATES
Bethlehem, United States
5.0
4
Payment method verified
Member since Mar 2, 2018

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