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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

57 freelancers are bidding on average $52 for this job

toinnisfree

quick pro help. ftp and escrow required.

$135 USD in 2 days
(782 Reviews)
8.3
denisCh

Please check PM

$40 USD in 1 day
(88 Reviews)
7.5
csajit

Lets get it done!

$50 USD in 0 days
(275 Reviews)
6.8
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
(165 Reviews)
7.2
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
(63 Reviews)
6.4
vnexpsolution

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

$70 USD in 0 days
(157 Reviews)
6.6
citiva

Hi I can start right now to do it

$30 USD in 1 day
(104 Reviews)
6.3
vsscomputers

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

$35 USD in 1 day
(110 Reviews)
6.5
amin6106

I have understood your requirement ready to start, i have over 6+ years of experience in php, mysql, css, facebook apps etc.

$30 USD in 0 days
(73 Reviews)
6.1
unieyes48

hi, this easy task,that no need to discuss. thanks

$30 USD in 1 day
(57 Reviews)
5.6
codemaster7

Hello, I can complete this project within one-two hours . I can start right now. Regards, Andy.

$30 USD in 0 days
(40 Reviews)
5.2
rjsultan

Its very simple job for me 100% bug free and functioning code.

$30 USD in 1 day
(48 Reviews)
5.2
lokjaiswal12

I can start now and finish within 4 hours.

$30 USD in 0 days
(56 Reviews)
5.5
synergydeveloper

Please check PMB

$40 USD in 0 days
(7 Reviews)
5.2
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
(12 Reviews)
5.5
jitendraparmar07

Ready to start right [login to view URL] check your PMB.

$40 USD in 0 days
(18 Reviews)
4.7
parthuji

4 years exp and quality work surity

$30 USD in 1 day
(12 Reviews)
4.7
bearjob

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

$30 USD in 0 days
(29 Reviews)
4.8
abupabuya

hi sir im an expert php programmer

$50 USD in 1 day
(21 Reviews)
4.6
nobelsolution

Hello, I have reviewed your project description . I can work with you to complete this job successfully. I have more than five year experience in Web development and designing. Please let me know if you woul More

$30 USD in 0 days
(16 Reviews)
4.5