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Web Application Form to Database & API Check

**Application Form to Database & API Check

**I require a programmer competent and with experience in implementing PHP and MySQL to make a web based Application Form to Database with some API checks

## Deliverables

I require a programmer competent and with experience in implementing PHP and MySQL to make a web based Application Form to Database with some API checks

The process is generalized as follows:

User fills in a form of my website requesting a job position

The form data is validated to ensure correct formatting of fields

The form data is saved to a MySQL database

Verifications checks run against data (PHP APIs or SOAP)

1. Telephone Verification Service for Applicant ([[url removed, login to view]][1]) if fails

2. Telephone Number Identification (checked and output stored against applicant in database) [[url removed, login to view]][2]

3. Fraud API (checked and stored against applicant in database) [[url removed, login to view]][3]

Results are saved against the application in the database

Notification of applicant - email sent to administrator

Process completed

Thanks

>>>

I was requested for form fields:

First name

Last name

Street Address

City

ZIP / Postal Code

State

Country (Country List - United States default value)

Email

Phone

Instant Messenger

Type (Dropdown Box)

Screen Name (Text Field)

Gender (Male or Female)

Occupation (Text field)

Date of Birth (Must be 18+ validate DOB)

Payment Method

Type

Paypal

Moneybookers

Account ID / Email

Referred by (Text Field)

Prior Experience (Yes with text fields for Who & When)

Yes

Who?

When?

No

Best Time to Contact (Dropdown with following values)

Morning

Afternoon

Evening

Contact Preference Type (Dropdown)

Phone

Instant Messenger

Email

Capture Image Identification

Terms of Service (Check box TOS linked to TOS page)

Accept

An example can be seen at [url removed, login to view]@[url removed, login to view]

On top of these field then the output from the API would need to be added

* * *This broadcast message was sent to all bidders on Friday Oct 17, 2008 10:36:08 AM:

Description updated with field I need on the form as requested by several bidders

Evner: Amazon Web Services, Ingeniørarbejde, MySQL, PHP, Projekt Ledelse, Software Arkitektur, Software Testning, Web Hosting, Hjemmeside Management, Hjemmeside Testning

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Om arbejdsgiveren:
( 20 bedømmelser ) Nordborg, Denmark

Projekt ID: #3316263

10 freelancere byder i gennemsnit $87 på dette job

forlenttech

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$114.75 USD in 14 dage
(129 bedømmelser)
6.7
toinnisfreesl

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$170 USD in 14 dage
(37 bedømmelser)
5.3
donmarcos

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$127.5 USD in 14 dage
(53 bedømmelser)
5.2
dinarlol

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$25.5 USD in 14 dage
(69 bedømmelser)
5.2
habpcvw

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$127.5 USD in 14 dage
(4 bedømmelser)
4.1
mani125

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$80.75 USD in 14 dage
(11 bedømmelser)
4.1
maomuriel

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$59.5 USD in 14 dage
(19 bedømmelser)
3.8
amrishprajapati

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$76.5 USD in 14 dage
(0 bedømmelser)
0.0
devfine

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$34 USD in 14 dage
(0 bedømmelser)
0.0
gamini2006

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$51 USD in 14 dage
(0 bedømmelser)
0.0