iPad HTML5 App (Enhanced Form)

This project received 7 bids from talented freelancers with an average bid price of $327 USD / hour.

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I need for someone to create for me a html5 form, optimized for the iPads resolution.

The app must do the following:

-Capture 5 text fields, and 2 numeric fields (such as telephone)

-There is one special field for adding tags. Tags are organized in categories. There should be a text field to add new tags.

-Capture the device's geolocation under a specific accuracy

-In case the geolocation can't be captured then the form must allow for it to be typed in

-In case there is no 3G the entry must be stored locally

-Allow to take and store a picture from the device's camera

-Results should be delivered to a web service

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