Custom Web Form

Closed

I require a multi-page form utilizing PHP, Java, MySQL and Ajax. The form is required to have the following elements...

- Form

- Must be secure and transmit submission over https

- All form functions must be handled via php, jquery & ajax

- Multiple File Upload

- The ability to limit file size

- The ability to set file types

- The ability for the user to add additional upload fields via ajax

- Form Pages

- The form will have multipages.

- The form will have a Progress Bar based on page completion

- The forms "Next" button will be disabled until all fields are vaildated

- Form Fields

- ALL Field types must be able to be styled via css

- Fields must be able to have a tooltip

- Fields must highlight when active

- Fields must include inline validation

- Fields may show/hide additional fields based on selections

- Form Summary Requirements

- The form must produce a confirmation page with summary details prior to being submitted.

- The form must allow the user to edit the form contents from the summary page.

- The form must utilize captcha in order to submit.

- Form Submission

- After submission the user will be re-directed to one of several completion pages.

- The "Completion Pages" URL's must be under admin control as they may change.

- The "Completion Page" redirect will be based upon selections the user made in the form.

- Form Results

- Must be sent to multiple email addresses set be admin

- Must give user option of having a copy of the email forwarded to themselves.

I will provde files with form element details.

Skills: AJAX, HTML5, Javascript, MySQL, PHP

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Project ID: #1648127

16 freelancers are bidding on average $123 for this job

WebSolutionWorld

Check PMB please.

$100 USD in 2 days
(172 Reviews)
6.9
mikesteve

Hi Expert Developer Here..Ready to start!

$100 USD in 2 days
(79 Reviews)
6.7
creativeitechpvt

Dear Sir, we are able to complete this work with its innovative ideas and excellent customer service. we will make some different to your expectation. we are available via Skype, phone and e-mail and are always o More

$80 USD in 3 days
(98 Reviews)
6.6
sscreations

Hi Sir, I can do your work perfectly. I can assure you that I can deliver within timely manner, lets discuss on PMB

$80 USD in 3 days
(37 Reviews)
6.0
webedict

HELLO SIR, READY TO START. LETS START AND FINISH IT ASAP. I HAVE 3 YEARS OF EXPERIENCE IN PHP, MYSQL, AJAX, JAVASCRIPT, XHTML. THANKS !!

$80 USD in 2 days
(62 Reviews)
5.2
arman321

SERIOUS BIDDER.CHECK PMB....

$100 USD in 2 days
(7 Reviews)
4.7
rifki2009

Immediately

$70 USD in 0 days
(5 Reviews)
4.1
mohamedmssouda

Kindly check the PM

$70 USD in 1 day
(11 Reviews)
4.1
parthk

Hello, I am a certified IT professional working in the industry for almost 5 years now. I have seen your requirements for development of the form, and fortunately I already have done something similar in past. More

$150 USD in 3 days
(5 Reviews)
4.0
GigaWorx

Please check PMB for details, Thanks.

$180 USD in 7 days
(7 Reviews)
3.3
pravendrayadav

Please check our preview work in message Thanks,

$100 USD in 2 days
(2 Reviews)
2.7
I75wZf2YX

Custom software development - <b><i>Removed by Admin</i></b>

$250 USD in 1 day
(0 Reviews)
0.0
reformconsulting

Dear Sir, Greetings! We are Reform Consulting with 5 year of experience under our belt. We are really interested to work on your project. Please see PM. Thank you. Regards, RCPL.

$150 USD in 5 days
(3 Reviews)
4.4
agessalypse

The form is an interactive user interface through which the public will upload and send information to the system. The form should first validate the content before submitting. Programming skills required include PHP, More

$150 USD in 10 days
(0 Reviews)
0.0
arulananth

Hi sir.. i am read your documents very clear.. this type of job i already done.. plz go to the follow website.. http://nonstatus.ultracar.co.uk/register.php register then login,you see what you need.i do More

$220 USD in 3 days
(0 Reviews)
1.5
brainstatics

Hi Sir, I have gone through your requirement and would like to mention that I can start work with you and can make the suggested implementations on the website

$80 USD in 4 days
(0 Reviews)
0.0