In Progress

Simple Webform with PHP

See attached forms.

I need a web app that will enter records as seen in the Excel FORM attached to this document.

I prefer PHP and mySQL as I will be hosting locally on my System running XAMPP or WAMP

The Following will be required:

- Web form to Enter Records

- Search page to query records and print out result

- Time Stamp on every record Entered

Field Name Field Type

Date: Calender Selection

Surname Text Field

First Name Text Field

Sex Drop Down Selection (Male/Female)

Age group Drop down selection (Under 18/18-30/30+/40+/50+/60+)

Occupation Text Field

Contact Number (s) Phone Number

Home Address Text Box

Nearest Bus Stop Text Box

Email Email Address

Can we pay you a visit? Drop Down Selection (Yes/No)

If yes, where Address to Visit: Drop Down Selection (Home/Office)

Office Address Text Field

Marital Status Drop Down Selection (Single/Married/Divorced/Widowed)

Born Again? Drop Down Selection (Yes/No)

How did you hear about COZA? Drop Down Selection (Friend/Handbill/Radio/Evangelism/Internet/Others)

Why did you come to Church today? Drop Down Selection (Invited/Live in the Area/Visiting the City of Abuja/Curious About Christianity/Heard about the Church)

Would you like to make COZA your local church Drop Down Selection (Yes/No)

Special Request Check Box Selection (Findout more about COZA/Request prayers for a particular thing/Speak to someone about my Faith)

Comments about Service Text Box

I want search to be perfomed on the following:

Date

Name (First Name and Surname)

Phone Number

Sex

Age Group

Occupation

Can we pay you a visit

Marital Status

Born Again?

How did you hear about COZA

Special Request

The Search Result Summary Page should contain the following fields

Surname

First Name

Phone Number

EMail Address

Sex

Marital Status

Age Group.

When you click on any of the names in the result page, a popup page should be displayed showing all the information entered about the individual.

The page should also have a password protection system. There will be 3 users

Administator - Can Add, Edit, Remove and Search for records

Manager Can Add, Edit and search

Editor Can Search/View

Phone Number

Skills: MySQL, PHP, Software Architecture

See more: web office live, web editor app, service editor, php live editor, my name editor, internet radio architecture, i need a type editor, home office php, we hear you, n service bus, Xampp, webform, visit my city, time stamp, simple query, service bus, php software architecture mysql, php radio, faith, excel 50/60, click office, church app, christianity, architecture office, edit email forms

About the Employer:
( 9 reviews ) Wuse2, Nigeria

Project ID: #1430249

Awarded to:

aukint

Lets do it with AukInt.

$60 USD in 1 day
(33 Reviews)
5.1

20 freelancers are bidding on average $100 for this job

Dunkoh

Lets do this. See PMB.

$120 USD in 4 days
(109 Reviews)
6.9
SevenStarInfo

Hello, I can do make the forms as per your details. Ready to start immediately. Thanks & Regards, SevenStar Infotech

$100 USD in 1 day
(37 Reviews)
6.6
mdjavedakhtar

we can do it with PHP AJAX so will be much attractive please check pmb

$100 USD in 2 days
(37 Reviews)
6.5
webzin

Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx Ram Webzin I More

$100 USD in 2 days
(53 Reviews)
6.2
sinisa

Hello, i am interested.

$120 USD in 6 days
(96 Reviews)
6.2
maasoft

Let start now.I can create the forms as per your [url removed, login to view]

$80 USD in 1 day
(126 Reviews)
6.1
milliard

Hi, we have read your requirements. we will develop using php and mysql. Thank you

$60 USD in 2 days
(19 Reviews)
5.8
venkatmca06

*********** Can i have this opportunity to work with you ***********

$110 USD in 5 days
(21 Reviews)
4.8
phpopensource

Hi, This is really simple task. Please see private message for details. Thanks

$98 USD in 2 days
(26 Reviews)
4.6
shahzad11

hi, please check PM

$70 USD in 1 day
(6 Reviews)
4.0
sonviet

I have 4 years experience in designing websites and web-based application, you absolutely believe in me, look forward to working! Thanks and Best Regards.

$250 USD in 5 days
(11 Reviews)
3.8
meghraj27

Hello Sir, I will do this quickly without any error.

$99 USD in 1 day
(8 Reviews)
3.4
umairkhan85

Dear Sir, I can provide you this php / my sql task. Thanks. Regards, Umair Khan.

$150 USD in 2 days
(1 Review)
2.6
nextgencoder

Sir, I have read your job requirement carefully, and ready to start your project. Thanks

$50 USD in 5 days
(0 Reviews)
0.0
samporasa

Hello Sir, We are new to freelancers. Me and my team are well experienced in web development project. We can provide you with 100% job satisfaction guarantee. Thank You.

$100 USD in 2 days
(0 Reviews)
0.0
zafarmurtaza786

Kindly check the personal message

$80 USD in 5 days
(0 Reviews)
0.0
ATdevelopers

i can do :)

$120 USD in 3 days
(0 Reviews)
0.0
rbigroup

Hi , I am ready to start project.

$85 USD in 1 day
(0 Reviews)
0.0
hanifbd7

Hi, I am a professional web developer. I feel very much interest to develop this simple application for you. Check PM for details.

$40 USD in 2 days
(1 Review)
0.0