In Progress

PHP form for wordpress

I need a form for wordpress embedding. The following are the requirements.

1. I want clone of this [url removed, login to view]

2. The result should be mailed which should be editable (mail ID)

3. It should have 2 more fields i.e. username and password which should get stored in database of the user.

4. In description field of wordpress user profile assessment received should be added when the form is submitted and all details should be mailed to the administration except password.

I am not interested in paying more than $50 so bid accordingly. Freelancers from India will be preffered. No companies please. If you can provide Bank account details for money trasections it will be better. I dont want any copy paste bids. Please write "This is to confirm that I have read the requirement"

Skills: PHP

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About the Employer:
( 5 reviews ) chandigarh, India

Project ID: #233199

4 freelancers are bidding on average $109 for this job

voituk

Hi Anurag! I can do this quickly and reliable! Thanks.

$50 USD in 3 days
(26 Reviews)
5.5
steward

Hi. Please check PBM

$50 USD in 5 days
(5 Reviews)
3.4
darshanzz

well i am ready to do....please check PMB

$120 USD in 0 days
(0 Reviews)
0.0
pagadalarajesh

Hi there, I am ready to start this project immly. I can deliver u on or before the days mentioned above. Awaiting for u r confirmation to [url removed, login to view] u are ready then send me the details briefly. Regards Raj

$215 USD in 11 days
(0 Reviews)
0.0