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

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.

See the image below for more informations about the form

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: #10624140

Được trao cho:


i am ready to start this work..............................................................please discuss thanks

€100 EUR trong 3 ngày
(118 Đánh Giá)

33 freelancer đang chào giá trung bình €158 cho công việc này


I can email the PDFs with the data you mention (validated) in a couple of days, I can use Laravel for clean and organized code, and MySQL for the database. I can start as soon as today. ____________________________ Thêm

€250 EUR trong 3 ngày
(102 Nhận xét)

beofre you pay anything, as a demo I will create the form and make it work as described, to create pdf and send data by email ...etc , all this before you even award me the project I'm a professional web developer, Thêm

€55 EUR trong 3 ngày
(93 Nhận xét)

----------------------------------------------------------Please Consider on My BID---------------------------------------------------Hello Sir, I have 8 + years experience of web site development. Expert in PHP , Op Thêm

€200 EUR trong 5 ngày
(189 Nhận xét)

Hi there, I am a forms expert and can do this for you perfectly, along with HtML emailing (without ending up in spam folders) and also PDF creation. Can show examples of previous similar work I have done. Thanks

€110 EUR trong 3 ngày
(92 Nhận xét)

Greetings sir, i am an expert freelancer. for this job and your 100% satisfaction is assured if you allow me to serve. Here is the reason. Why you should pick me? a) I am a very expert desktop/web software/macro/ Thêm

€150 EUR trong 2 ngày
(104 Nhận xét)
€357 EUR trong 3 ngày
(43 Nhận xét)

i have 8+ years of experience. Can we discuss the project. Please initiate a chat with me so that we can discuss the project at a broader level. Why you should hire me- 1. I have a very good communication skills Thêm

€147 EUR trong 3 ngày
(7 Nhận xét)

Hello, I am very interested in your project. Please come on chat for detail discussion so that I can start your project asap. =============Wordpress==================== [login to view URL] http://wedofurna Thêm

€155 EUR trong 3 ngày
(99 Nhận xét)

I am very expirienced developer with more than 10 years on web. Expert for jquery, ajax, javascript. Backend PHP and ASP.NET. PHP frameworks: CodeIgniter Also, expert in frontend. Certified in JavaScript, AJAX, Jquer Thêm

€222 EUR trong 8 ngày
(28 Nhận xét)

Hello there can you please pm me to discuss? i am waiting for your pm thanks regards .,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

€48 EUR trong 3 ngày
(14 Nhận xét)
€150 EUR trong 3 ngày
(22 Nhận xét)

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 for Thêm

€211 EUR trong 4 ngày
(30 Nhận xét)

As the attached file is an unknown file format, making this bid based on the project description. I've delivered multiple such projects recently. You can check the client feedback and my portfolio for the same. I belie Thêm

€220 EUR trong 3 ngày
(7 Nhận xét)

Hello, I readed your project and since I'm long time developer and an html, php, css and wordpress expert I know that I am exactely right person you need to chose for this job. Little bit more about how I work, tel Thêm

€222 EUR trong 3 ngày
(13 Nhận xét)

I am experienced developer with many years of experience on big projects for big companies. I offer you great price for excellent work. Please write me more info into chat and i can help you. I have 100% success rate a Thêm

€111 EUR trong 3 ngày
(8 Nhận xét)

Hi, I can do this project, I know well all the skills you've mentioned, and I've done similar things before. Please contact me if you're interested in my work! solarcoder

€64 EUR trong 1 ngày
(11 Nhận xét)

Hello, Please have a look of my own company website: [login to view URL] and my freelancer profile: https://www.freelancer.in/u/kushrai.html I am a PHP Developer with 6+ years of experience in this fields Thêm

€116 EUR trong 3 ngày
(11 Nhận xét)

hi,I understand your requirement.I have read all your description can do this task for you I am qualified webdeveloper with hand on experience of 3year i will provide you quality work Hope to hear you back Thank Thêm

€105 EUR trong 6 ngày
(8 Nhận xét)

Hi, The project sounds relatively simple. I could probably do this in a day or so, but it depends on your existing code (is it programmed in any kind of PHP framework?). Thanks a lot, John

€250 EUR trong 3 ngày
(2 Nhận xét)

Hi, I have good experience in web development. I assure you that I can provide you the clean code as per your requirement. Please message me, so we can discuss and fix the budget and number of days needed. Tru Thêm

€200 EUR trong 7 ngày
(5 Nhận xét)