Preparation of money remittance web

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
I need to prepare a simple website for a small money remittance business. It should have 6 pages which are

1.Home:for small description about the company, vision and mission
2.Registration: Allow to register for the new customers which should include following details and also they should be able to upload one document (pdf, word, jpg)

First Name
Family Name
Full Name with Initials
Date of Birth

Unit/House No
Street Name
Post Code
State (Drop Down menu for selection from Tasmania, New South Wales, Western, Queensland, Northern Territory, Victoria, South Australia)
Postal Address (If different from above)

Contact Number
Home Telephone
Email ID

ID umber
ID Type (Driving License/Passport)
ID Expiry Date

ABN/CAN/ABRN (if Available)
Business Structure

3.Bank Details (Three or four account details of banks)
4.Our Charges (Simple box

Amount Charges
$0-500 $6
$501-1500 $7
$1501-3500 $ 8
%3501-5000 $10

5. New transfer (fields required to fill details as follows and upload a document)

XXXX Client Number
Full Name
Account Transfer reference
Payment Method
Date of Transfer
Total Amount Transferred
Transfer method
Purpose of Transaction

Beneficiary's Name
Beneficiary's Date of Birth (if an individual)
Beneficiary's Contact No
Beneficiary's Email ID
Business Name (If send to a business account)

Beneficiary's account number
Name of the Bank
Branch Details

Further it should have a NOTE and tick box for accepting the terms and conditions

6. Contact us (email and phone numbers)

NOTE: This is just a "quote" request and there is no guarantee that lowest will get the job, further the client will decide to proceed or abort the works without any proceedings. Unless the client accept any offer there is no legal contract between the quoting parties and the client.

Skills required:
Website Design
Hire prabhashmiri
Project posted by:
prabhashmiri Australia
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