Android App - Code user input form

Avg Bid (USD)
Project Budget (USD)
$250 - $750

Project Description:
I have a Ap that i started building. Im at the point where i need some help.

I need a input form that accepts Email, name, age, county, city, state, sex, bio, and allows them to upload a photo to my server. The ap form also needs to submit that data to my database.

I will provide the started app code. The server side programming will need to be done in c#. I can provide my visual studio SLN if needed so you understand the table names in the DB.

The form I need replicated can be found on the site here.

Skills required:
Android, C# Programming, Mobile Phone
About the employer:
Public Clarification Board
Bids are hidden by the project creator. Log in as the employer to view bids or to bid on this project.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.

$ 625
in 10 days
$ 650
in 15 days
$ 750
in 10 days
Hire kakoappa
$ 400
in 10 days
Hire Kartoos
$ 400
in 10 days
$ 600
in 10 days
$ 800
in 35 days
$ 720
in 25 days
$ 500
in 7 days
$ 2000
in 60 days