Create a loan application form

I need a form to be created exactly like [url removed, login to view]

The form should collect data and save it to a local database and use post method to send the data to a remote database. I need this form running asap. Budget is not more that $40. Please bid only if you understand this requirement. Please explain how you will accomplish this when you bid to prove that you have an understanding of this process.



Skills: AJAX, Javascript, PHP

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About the Employer:
( 4 reviews ) Jersey City, United States

Project ID: #5225911

21 freelancers are bidding on average $44 for this job


I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. I have good level of experience in Core PHP , OpenCart , Magento, Wordpress, Drupal More

$40 USD in 3 days
(265 Reviews)

Hi there, I can create this from and store the data locally, and I will also make a POST request sending all the received data using curl. I can finish this in 1-2 hours, ready to start immediately. 6+ years of web More

$40 USD in 0 days
(127 Reviews)

Well i cant see the form.. Its saying Operation timeout.. :( Have exp over 7 years in PHP,Mysql,JS,[login to view URL] to start right now. Understand the whole [login to view URL] Nitish

$40 USD in 1 day
(141 Reviews)

hi have done similar task for many payday loan companies. [login to view URL] is one of the example.

$40 USD in 2 days
(40 Reviews)

Hello Sir, I have good experiences in these kind of work. I can do this job for you ASAP. Please check my feedback and award me the project. Thanks.

$45 USD in 3 days
(43 Reviews)

Hi, Its an easy job. I can do it really cheap and can start right now. Let me know of your inputs. Thanks.

$30 USD in 3 days
(113 Reviews)

Hello, As you are online, lets discuss this project in details. I will develop this using php and mysql.

$35 USD in 2 days
(33 Reviews)

Hi, Based on the expertise and long term experience, I can guarantee an extraordinary result in less than anticipating time. i would love to start the job right away and provide you excellent quality.. plz c More

$35 USD in 3 days
(56 Reviews)

Hello Sir, I am ready to start work, lets start and finish it asap. I have 4 years of expereince in WBE DEVELOPMENT FIELD (php,mysql,ajax,js,xhtml). Waiting for yours positive reply, Thanks !! Webedict

$40 USD in 3 days
(61 Reviews)

Hello there. I can do your job at a good price and a decent time. I am an electronic engineer and also the owner of this site : [login to view URL] where in Code Samples section you can see my free available work. Contact More

$35 USD in 0 days
(9 Reviews)

Hi, my code with Yii framework or bootstrap for core will be best for your single for application let me explain in detail please contact.. thank you Webonerds

$35 USD in 1 day
(14 Reviews)

Hi, I am ready to start this project, consider me once and given me chance for do it, I am sure that I can help you, thanks with regards

$133 USD in 5 days
(11 Reviews)

Hi, This should be an easy task, let me know more details about your website and how it looks like Regards, Waleed

$30 USD in 1 day
(3 Reviews)

Easy task, I can do it in hours if we start now. Where's the website & server access? Do provide me, I'll do it right now!

$40 USD in 1 day
(6 Reviews)

thanks for posting project i read all the requirements and i am expert php and sql developer i have huge experience in this field these my dynamic websites samples those control through CMS [login to view URL] More

$40 USD in 4 days
(7 Reviews)

hi i will do to within 1 day within $30 . for any information message me or check my profile. Thank You!

$30 USD in 1 day
(10 Reviews)

Hello There, I have 7 Year experience in this field... I have more than 50 excellent experience team in my company... offering you very cheep rate with sure result... so please give us a chance to start our busin More

$35 USD in 1 day
(1 Review)

A proposal has not yet been provided

$35 USD in 1 day
(2 Reviews)

Hi sir i'm interested to do the form as you required, My recent works, [login to view URL] [login to view URL] Please come on chat sir will show more More

$88 USD in 1 day
(2 Reviews)

hello - I have already been working on similar (all custom design and coding) recently (in development/near finished): [login to view URL] My version actually cr More

$40 USD in 3 days
(0 Reviews)