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Collect data via form, create a PDF and send it by mail -- 2

I need a small system that has these features:

A form whose fields are:

- choice of 4 png images (required to check 1 to 4. For example radio button. The images are saved in a folder on the server)

- Name (Control entered only text data)

- Surname (Control entered only text data)

- Email (regex and html5 and if the email exists example as Http://[url removed, login to view])

- Date of birth (click to view the calendar for date selection or pre-formatted example 01/12/1980)

- Gender (F / M [url removed, login to view])

- Serial number (check if start with two static letter for example FA, only letter and number, max length 12. Ex. FA0123456789)

Each entry error should be displayed under the box with an error and highlight the box where the error occurred. All fields are required.

When the user clicks the submit button:

- send the data of the form to a table of db (mysql)

- created a pdf (with graphics that will be provided) with all the data in the form and with the image chosen in the form (it can be inserted other static texts and images that i will send you)

- sent an email to the administrator, using the server's SMTP with the form data and static text and attached the pdf created earlier

- sent an email to the email entered in the form, using the server's SMTP server with the form data and static text and attached the pdf created earlier

A confirmation message must be visible under the form.

All have to work on a LAMP system.

All in php, html5, css3, jQuery, mysql.

Kĩ năng: CSS, HTML5, Javascript, jQuery / Prototype, PHP

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Về Bên Thuê:
( 1 Nhận xét ) Ponte nelle Alpi, Italy

ID dự án: #10811592

5 freelancer đang chào giá trung bình €230 cho công việc này

€150 EUR trong 4 ngày
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6.4
devstart1234

Hello We are in team having different-2 Years of experience in the mention field such as [login to view URL] (Apps) Android,Ios [login to view URL] Based (Website) Html,Html5,Css,Css3,Php,WordPress,Magento,API creation,Theme Thêm

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5.8
SmartIndia50

Greetings, we are a team of 42 developers and 25 designers and each having more than 8 years experience. ============ I would be very much happy to work with you on your project and I have already checked the details Thêm

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4.6
peramile

Hi, I make Web Application that help businesses reach their goals. I have 5 years of experience in WordPress, Woo-commerce, HTML5, CSS3, PHP, MySQL. I can Anything to do in WordPress CMS, I can provide creative desi Thêm

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hadiachaudary

,I can help you , you can contact with me in inbox i provide you high quality work. i can provide you much work in less time, Give me a chance i will give you my best output and i hope you are be happy to work with m Thêm

€155 EUR trong 3 ngày
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1.8
ajharul

Dear Employer, Hello! Ajharul here! I'm specialized in the areas of Web Designing, Researching, Web scraping services. With 100+ positive project feedback, I wanna complete more project successfully also wanna kee Thêm

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0.7