Freelancer

Webify a paper-based form  

Webify a paper-based form is project number 24573
posted at Freelancer.com. Click here to post your own project.


| More Free Trial For New Buyers
 

Status:

Selected Providers: eXternalDesign

Budget: $30-100

Created: 08/23/2005 at 3:43 EDT

Bid Count: 12

Average Bid:
$ 40

08/24/2005 at 3:43 EDT

Project Creator: campbeld
Employer Rating: (No Feedback Yet)

Bid On This Project
 

Description

Aim: Collect information from people via a web-based form and deliver the information direct to an e-mail inbox.

Nothing less than excellence is expected for this project. The end-result must be robust with strong data validation and verification.

The details of the form are specified below.

SECTION HEADING Assessment for Immigration – Client Details page 1
Family Name:
First Names:
DOB:
Citizen:
Residential Address:
Email:
Mobile Nr (including country and area code):
Passport number:
Passport Expiry:
Visa type held:
Visa Expiry:
Marital Status:
{mutually exclusive: Never married | Married | De facto | Divorced | Separated }

Spouse details:
Name of spouse:
DOB of spouse:

SECTION HEADING Dependent children (please provide details of ALL dependent children):
Child 1
Name:
DOB:
Child 2
Name:
DOB:
Child 3
Name:
DOB:
Child 4
Name:
DOB:

Do you have ANY other children from a previous marriage or relationship?
{mutually exclusive: Yes | No }

Do you have any person over the age of 25 years who is dependent upon you?
{mutually exclusive: Yes | No }

Do you or does your spouse have any close relative(s) in Australia?
{mutually inclusive: Grandparent | Parent | Brother/Sister | Aunt/Uncle | First Cousin }

Who and where do these relatives live in Australia? Please indicate name, state and suburb OR town.
Relative 1:
Relative 2:

SECTION HEADING Assessment for Immigration – Client Details page 2
Education:
Highest Qualification awarded or currently studying:
Institution attended:
Date commenced:
Date completed:
Employment:
Current or most recent job position title:
Employer:
Address of employer:
Date commenced:
Date of termination:
English Language:

Have you ever undertaken an IELTS test?
{mutually exclusive: Yes | No }

What was the overall band score on your last IELTS Test?

How would your rate your level of English language usage and comprehension?
{mutually exclusive: Poor | Basic | Good | Very Good | Excellent}

SECTION HEADING Health:

Do you currently suffer from or have you suffered from any significant medical conditions?
{mutually exclusive: Yes | No }

Does any member of your family or any child of yours from a previous relationship suffer from any significant medical condition?
{mutually exclusive: Yes | No }

Character:

Have you or any member of your immediate family ever been convicted of ANY criminal offence in any country?
{mutually exclusive: Yes | No }

Messages Posted:2 View project clarification board Post message on project clarification board

Bid On This Project
 

If you are the project creator or one of the bidders Log In for more options

 

30

1 day

08-23-2005 05:23 EDT

Please see PMB.

help

 

30

0 days

08-23-2005 04:08 EDT

I can help you!

help

 

30

3 days

08-23-2005 04:59 EDT

Hi, Please see PMB for more days. Best Regards ... ccpplinux

help

 

35

2 days

08-23-2005 04:23 EDT

I can ensure that I can webify this form with verification of data using just plain php.

help

 

50

2 days

08-23-2005 03:46 EDT

Hi. I can do this. Please see PMB

help

 

30

1 day

08-23-2005 04:16 EDT

Hi, I can do this for you at 20$ and with 1000% accuracy as I am master in Javascript. Thanks & regards

help

 

30

0 days

08-23-2005 04:17 EDT

$ 25 for all you need.

help

 

30

0 days

08-23-2005 04:22 EDT

I can start right now.

help

 

30

2 days

08-23-2005 04:04 EDT

Hi! We can ensure the functionalities with javascript data entry validation and php mailing. Professional support will be provided within 3 weeks time also.

help

 

100

3 days

08-23-2005 05:43 EDT

**************** GREETINGS! regards,ZXCVB ****************

help

 

50

1 day

08-23-2005 04:57 EDT

(No Feedback Yet)

Hello, I have wide area experience in open source technology like php/c++/linux/so files/fusebox AND WINDOW based ASP,COM,DCOM,MTS,VB,VC++,.NET We can use PHP for your task, User will enter information and submit and sent through email. Please forward me your mail ID so i can forward you project proposal according your current requirement. SG

help

 

30

1 day

08-23-2005 05:41 EDT

(No Feedback Yet)

I BID $15

help


    Bid on this Project