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.

Taidot: Graafinen suunnittelu, HTML, PHP, Verkkosivujen suunnittelu, CSS

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Tietoa työnantajasta:
( 0 arvostelua ) Romero Rubio, Mexico

Projektin tunnus: #29050129

9 freelanceria on tarjonnut keskimäärin $478 tähän työhön


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$650 USD 21 päivässä
(994 arvostelua)

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 Lisää

$750 USD 10 päivässä
(285 arvostelua)

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 Lisää

$550 USD 15 päivässä
(221 arvostelua)

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] Lisää

$750 USD 12 päivässä
(31 arvostelua)

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 Lisää

$350 USD 7 päivässä
(47 arvostelua)

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 Lisää

$250 USD 3 päivässä
(14 arvostelua)

Hello There, I am very much confident to do this job for you. And I can alive your dream. I have 5 years of experience in development in Wordpress, Shopify, php, Laravel (E-commerce, multivendor, blogging and simp Lisää

$250 USD 5 päivässä
(3 arvostelua)

I have more than 12 years of experience development. Most of experience in react js. AngularJS, node js , javascript, typescript, c#,mvc, .netcore,Microsoft technologies, SQL server , postgreSql, Oracle , mongo db , ci Lisää

$256 USD 10 päivässä
(0 arvostelua)

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 Lisää

$500 USD 7 päivässä
(0 arvostelua)