Create a 4 page Application Form with Admin Panel Backend

I need a 4 page application form created that dumps all the data into a mysql database. See attached pdf for the form I need created. I would like a possible ajax like feature so if they need to add another employer etc the new fields drop down [see text in red in the .pdf]

For the admin section, I need the following functions:

-- view list of all applications -- In the admin panel I need to see the following columns

Applicant Last Name, Applicant First Name -- Drop Down for Approved / Not Approved / Current Resident --- Areas Interested in Living in (taken from 4th page of application)

-- I need to be able to edit each field of the client's application and save the changes

-- I need to be able to add the following fields per client that are only visable in the admin panel:

-- A drop down menu for Approved / Not Approved / Current Resident

-- Memo Section -- allows us to make notes about the candidate

-- Upload Section -- Allow us to upload and view upto 3 documents of our choice relating to the client.

-- I need to be able to delete or add a new client in the admin panel

-- Admin panel needs to be password protected

-- Need to add an admin user section where we can add / delete / change current admins.

-- Need to operate the admin and the form itself in https / SSL mode.

I will need you to install this script on my server to make sure it is working correctly before last milestone in released.

Skills: AJAX, MySQL, PHP, Script Install, Software Architecture

See more: edit pdf form, a new mode, admin menu php, create application form, to make a application form, memo, create milestone, create about us page, create a milestone, create a 3 pdf, application form, add a milestone, backend admin php, notes create section, create user admin, form server client, form client server, menu form, php ajax form upload, form fields pdf, admin backend panel, pdf form drop list, install ajax database, ajax list list mysql, php mysql backend admin

About the Employer:
( 31 reviews ) Duncanville, United States

Project ID: #1311465

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NetXpertIndia is a customer-specific service oriented company has got a Professional and creative team. We are the Professional Web Development Company having rich experience in Web design and development. Our team can More

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$250 USD in 8 days
(71 Reviews)

Hello! The task is clear. I'm able to create this form and the back-end. I'm going to use my custom CMF for it. Thanks.

$300 USD in 8 days
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Hello, i am interested.

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I am a computer engineer. Please check PM for details. Thanks.

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Ready to start

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Hi, Thanks for your detailed project description. I read through your description and looked the pdf attachment. I can try and get this job done in a day and can take another day for testing and installing it on yo More

$180 USD in 2 days
(3 Reviews)

hi we have gone through your requirement it will be the web application controlled from admin aas well as front.

$400 USD in 45 days
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Hello, We are a team of professionals with more than 3+ years of experience in AJAX, Graphic Design, MySQL, PHP, Website Design, Joomla, .Net etc.. I have gone through your requirement and we can deliver it exactly More

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I can do this project according to your satisfaction.

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I am a freelancer worker with 2.5 years of experiences in php.

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