Form with CMS and confirmation of appointment by mail.

I need a web application with red, blue and white colorimetry. Banner at the top with logo on the left, links on the right and the following capture of forms divided into three steps:

1. First step:

1.1. Electoral mail, mandatory.

1.1. Name, mandatory.

1.2. Surname, mandatory.

1.3. 2-sided identification (file), mandatory

1.4. Birth certificate (file), mandatory.

1.5. 2-sided credential (file), mandatory.

1.6. Certificate (file), mandatory.

1.7. Address with map to find the location, mandatory.

1.8. Place where he died (spinner), mandatory.

1.9. Destination with map to find the location, mandatory.

1.10. Captcha, mandatory.

2. Second step:

2.1. Add marital status, mandatory.

2.2. Upload marriage certificate (optional), optionally.

2.1. Identification of witness 1 of both sides, mandatory.

2.2. Identification of witness 2 of both sides, mandatory.

2.3. Field to enter the address and search for the closest location, mandatory.

3. Third step:

Show a screen where it is indicated that the user needs to appear in the

window with the official death certificate and wait for the confirmation in your mail.

Finally, generate a dashboard with the requests that were saved for each location, with an account for each place that allows you to view the information and schedule an automatic appointment from 9 a.m. to 3 p.m., sending a confirmation email to the captured address with the date and time when it must be presented.

Skills: Graphic Design, HTML, PHP, Website Design, CSS

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About the Employer:
( 0 reviews ) Romero Rubio, Mexico

Project ID: #29050129

9 freelancers are bidding on average $478 for this job


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(994 Reviews)

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(47 Reviews)

Hello! I’ve viewed and understood your project of CMS development and designing. I’m the exact person you’re looking for! Because the high expertise of JavaScript ES9 / PHP 7 / Python 3 and frameworks are necessary for More

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