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I need a PHP programmer to complete a simple php form for registration

Registration form contain

Full Name, Blood Group, Gender,Date Of Birth,Mobile Number,Land Line Number,Select State,Select District,Select City,E-Mail ID,Permanent Address,UserId,,Password and an email link activation .

The project must be done within 4 hrs.

ITS VERY URRGEENT TO COMPLETE within 4 hrs.

HTML Template is already done. only need to write php code.

Skills: Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 34 reviews ) Kochi, India

Project ID: #4103775

58 freelancers are bidding on average $52 for this job

toinnisfree

quick pro help. ftp and escrow required.

$135 USD in 2 days
(527 Reviews)
7.8
denisCh

Please check PM

$40 USD in 1 day
(61 Reviews)
7.5
NeOLiO

Hi, It is very simple job. Please select my services and I will finish it within 4 hours. Thanks.

$30 USD in 0 days
(101 Reviews)
6.7
vsscomputers

Hi, Please check inbox for details and samples of our works done

$35 USD in 1 day
(99 Reviews)
6.4
citiva

Hi I can start right now to do it

$30 USD in 1 day
(90 Reviews)
6.1
ashutosh1607sl

your search ends here!!!. We had gone through your requirement and we are glad to hand over your project & above your expectations. It will be a great pleasure for us to work with you with your project. Please check More

$30 USD in 1 day
(31 Reviews)
5.7
scriptphp87

Hello Please read more than private message thank you

$100 USD in 1 day
(43 Reviews)
5.7
vnexpsolution

I can complete it in 4 hours. Please PM for me. Thanks

$70 USD in 0 days
(51 Reviews)
5.5
csajit

Lets get it done!

$50 USD in 0 days
(120 Reviews)
5.5
ctcprojbid

We are a company with experience of 8 years with excellent website design and development skills and proven track record of quality work with on time delivery of the product of client's choice, please check your person More

$125 USD in 5 days
(9 Reviews)
5.2
synergydeveloper

Please check PMB

$40 USD in 0 days
(7 Reviews)
5.2
bearjob

Hi sir i have all skills to do this project please check pm please

$30 USD in 0 days
(29 Reviews)
4.7
lokjaiswal12

I can start now and finish within 4 hours.

$30 USD in 0 days
(37 Reviews)
4.6
abupabuya

hi sir im an expert php programmer

$50 USD in 1 day
(15 Reviews)
4.5
chrisbg

Hello, please check your PMB.

$30 USD in 2 days
(28 Reviews)
4.5
jitendraparmar07

Ready to start right [url removed, login to view] check your PMB.

$40 USD in 0 days
(9 Reviews)
4.5
javakapil

HI, Let me do this simple task for you in the next 4 hours. Please check your private message for portfolio.

$35 USD in 0 days
(11 Reviews)
4.3
shaoncse06

Please see the PM.Thanks.

$30 USD in 0 days
(8 Reviews)
4.0
farhaoui

Hi sir, I'm ready to work on your project.

$30 USD in 1 day
(25 Reviews)
4.0
gatiworks

Ready to start. Please send me the details. I will provide you quality work.

$30 USD in 1 day
(28 Reviews)
3.9