Hi,
I need help in building my registration form for community builder, I am currently running Joomla 1.x, Community Builder 1.1 and chronoForm V2.3.9.
This will be my Registration Form:
Username: [ _______________ ] *
Email Address: [ ______________ ] *
Password: [ _____________ ] *
Name: Family [ _______________ ] * Give [ _________________ ] * Middle [ __________________ ] *
Birthdate: [ A Calendar Here ] *
Civil status: [ ] Single [ ] Widowed [ ] Married [ ] Seperated *
Gender: [ ] Male [ ] Female *
Citizenship: [ ] American Other [ ] [ __________________ ] ( textfield to specify citizenship ) *
Home address: [ ___________________ ] *
Zipcode: [_______] (textfield numeric only) *
T.I.N.: [________] (textfield numerical value only) (optional)
SSS/GSIS No.: [________] (textfield numerical value only) (optional)
Personal Reference
Name: [ ____________________ ] Relationship: [ ____________________ ]
Address: [ ____________________ ]
Tel No. [ ____________________ ]
MY JOB
[ ] Employed [ ] Self-Employed
Company Name: [ _____________________ ] Nature of Business: [ ____________________ ]
Occupation: [ ____________________ ] Position: [ ____________________ ]
Email Address: [ ____________________ ] Official Tel No. [ ____________________ ]
Business Address: [ ____________________ ]
Zipcode: [_______] (textfield numeric only)
Years with present employer [_______] (textfield numeric only)
Total No. of years working [_______] (textfield numeric only)
MY SPOUSE
Name: Family [ _______________ ] Give [ _________________ ] Middle [ __________________ ]
Birthdate: [ A Calendar Here ]
Civil status: [ ] Single [ ] Widowed [ ] Married [ ] Seperated
Gender: [ ] Male [ ] Female
Citizenship: [ ] American Other [ ] [ __________________ ] ( textfield to specify citizenship )
Company Name and Address: [__________________]
Position: [________________]
Mobile No.: [________________]
Tel No.: [________________]
Please send me how much will be your charge in integrating this form to my site, send at akanesakura32[at]yahoo.com. I can only pay via Paypal and please don't quot me to high.
Thanks!🙂
I need help in building my registration form for community builder, I am currently running Joomla 1.x, Community Builder 1.1 and chronoForm V2.3.9.
This will be my Registration Form:
Username: [ _______________ ] *
Email Address: [ ______________ ] *
Password: [ _____________ ] *
Name: Family [ _______________ ] * Give [ _________________ ] * Middle [ __________________ ] *
Birthdate: [ A Calendar Here ] *
Civil status: [ ] Single [ ] Widowed [ ] Married [ ] Seperated *
Gender: [ ] Male [ ] Female *
Citizenship: [ ] American Other [ ] [ __________________ ] ( textfield to specify citizenship ) *
Home address: [ ___________________ ] *
Zipcode: [_______] (textfield numeric only) *
T.I.N.: [________] (textfield numerical value only) (optional)
SSS/GSIS No.: [________] (textfield numerical value only) (optional)
Personal Reference
Name: [ ____________________ ] Relationship: [ ____________________ ]
Address: [ ____________________ ]
Tel No. [ ____________________ ]
MY JOB
[ ] Employed [ ] Self-Employed
Company Name: [ _____________________ ] Nature of Business: [ ____________________ ]
Occupation: [ ____________________ ] Position: [ ____________________ ]
Email Address: [ ____________________ ] Official Tel No. [ ____________________ ]
Business Address: [ ____________________ ]
Zipcode: [_______] (textfield numeric only)
Years with present employer [_______] (textfield numeric only)
Total No. of years working [_______] (textfield numeric only)
MY SPOUSE
Name: Family [ _______________ ] Give [ _________________ ] Middle [ __________________ ]
Birthdate: [ A Calendar Here ]
Civil status: [ ] Single [ ] Widowed [ ] Married [ ] Seperated
Gender: [ ] Male [ ] Female
Citizenship: [ ] American Other [ ] [ __________________ ] ( textfield to specify citizenship )
Company Name and Address: [__________________]
Position: [________________]
Mobile No.: [________________]
Tel No.: [________________]
Please send me how much will be your charge in integrating this form to my site, send at akanesakura32[at]yahoo.com. I can only pay via Paypal and please don't quot me to high.
Thanks!🙂