Simple Data Entry page flow for Vehicle Insurance

I am looking for simple but elegant page for data entry page flow for auto insurance business.

Attached file has the details.

I have created database design as well (Name tables, fields, datatypes and keys). Same must be used.

Attached screen shows how data entry fields will be presented to the end user. It includes Screen validation and logic as well.

"List of Values" will be one big table and values of all the dropdowns and radio buttons etc. will come from this one table. (I will provide data of this table). This table will simplify development and maintenance of the code.

Use jQuery and Bootstrap. I am NOT expecting VISUAL ENHANCEMENTS.

No advanced features... Just Form and form submission.

For List of Values, develop ONE FUNCTION to fetch the list and use the same function through out the list.

I will provide FTP access to my server (Linux) and MySQL DB. It should work on my server. You can do initial work on your local.


Only bid if you can finish it in budget and on time. (3 DAYS - No 4th day). You may update me with progress during the 3 days, so that I can feel comfortable that you are going on track. My budget is around 100 USD. I will not consider bids higher than that.

Taidot: Bootstrap, HTML5, jQuery / Prototype, MySQL, PHP

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Tietoa työnantajasta:
( 5 arvostelua ) Dubai, United Arab Emirates

Projektin tunnus: #16324991

Myönnetty käyttäjälle:


hi i read your requirements in detail so i can deliver you quality work within time deadlines for more discussion please [login to view URL]

$100 USD 3 päivässä
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15 freelanceria on tarjonnut keskimäärin %project_bid_stats_avg_sub_26% %project_currencyDetails_sign_sub_27% tähän työhön

$155 USD 3 päivässä
(78 arvostelua)

Hello Sir, I Read Job Description and I AM READY FOR START WORK RIGHT NOW, PLEASE REPLY I am very much interested to work in your project. i have 6 years experiences in website design and website development. i a Lisää

$30 USD 0 päivässä
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Hi, I read through the job details extremely carefully and I am absolutely sure that I can do the project very well in the shortest possible time. Thanks Palak

$133 USD 3 päivässä
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$155 USD 3 päivässä
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Hi Sir, I checked your excel sheets, forms flow and fields. i will complete this in jquery and bootstrap with completion fields validation and secure php msyql script with quality work. I will start work immediatel Lisää

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$200 USD 3 päivässä
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Dear client, Thank you for allowing me to post bid on your project. Description of project---- Simple Data Entry page flow for Vehicle Insurance I am ready to start now.i can provide you Great Quality and 100% Comp Lisää

$100 USD 3 päivässä
(21 arvostelua)

Hi. I will make this data entry form exactly you need. It will be made by using bootstrap and Php and all the values are stored in database. I will complete this in 2 days . and get you involved during development so w Lisää

$100 USD 2 päivässä
(28 arvostelua)

Hi How do you do! I read your job post and got your need. As I am an experienced web developer, I am sure I can implement that task perfectly in next 3 days. If you hire me, you will be satisfied with my work results Lisää

$98 USD 3 päivässä
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Namaste Welcome in my portfolio * **I'm Sanjay High Rated Freelancer*** i am new here in freelancer site but i have lot of year experience in the design field. Here i have 50 + satisfied clients. SKILL:- Power Lisää

$100 USD 0 päivässä
(2 arvostelua)

Time : 2 Days, Cost : $100 Hi there, I will do your data entry project within 2-3 days committed, no delay. The total cost will be $100 as your budget. Please reply or message to me to discuss more about yo Lisää

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