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.

Compétences : Conception graphique , HTML, PHP, Design de site internet, CSS

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Concernant l'employeur :
( 0 commentaires ) Romero Rubio, Mexico

Nº du projet : #29050129

9 freelances font une offre moyenne de 478 $ pour ce travail


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%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 21 jours
(994 Commentaires)

Hi I can build a form with CMS and confirmation of appointments by mail according to your requirement and specifications you have shared. I have built many business websites , web apps, software management systems hen Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(285 Commentaires)

Hello, I'm Abu Gosia. I'm interesting in your project very well. I'm good in Website Design, Yii2, PHP, Laravel, Codeigneter, Wordpress, Open Cart, C#, .Net, MVC, Angular.js, ASP.NET. I m quite well experienced in thes Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 15 jours
(221 Commentaires)

Hello, "SIMILAR WORK DONE" We have checked your requirement carefully that you need a appointment system Appointment System ( Doctor /Hospital/Laboratory/Lab Test Booking System ) [login to view URL] Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 12 jours
(31 Commentaires)

Hello sir, Good morning I have reviewed your requirements, carefully and I am confident to develop a nice website in wordpress for your business. I have vast experience with web development both front and backend and Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(47 Commentaires)

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 Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 3 jours
(14 Commentaires)

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%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 5 jours
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%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(0 Commentaires)

Thanks for the opportunity to provide a project! As a freelance designer, I’ve found that many clients enjoy my high quality of work, and reasonable rates. In this proposal, I’ll provide a detailed breakdown of the cos Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
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