landing page form

I need someone to edit a landing page template form and have 2 versions of the form.

1- Show full form with all fields.

2- Show 3-steps with completed percentage eg. [url removed, login to view]

It is important to include the 2 points same as the example above "Your privacy is important to us and Hacker safe".


- The landing page must remain responsive.

- form height can exceed main image like example above but consider filling the space under main image on left side with the section "our services" and not keep it empty.

Title: Learn More

Text: same as template "Just fill-in the form below and we will get in touch with you as soon as possible."

in Italic and smaller text: "This will only take a minute!"

Radio button:

Please select:

option1 - I am interested in a master's degree program and would like more information.

option2- I am a job seeker and would like to apply for a vacany.


if option1 selected Continue button appears to take visitor to another URL.

if option2 selected:

Full form: The rest of fields below appear.

in Multi step form:

----------------- NEXT STEP

Dropdown select: Which program most interest you?

radio button: Have you taken any of the following English Language Proficiency Test?

(TOEFL/IELTS/PEARSON-Academic, Cambridge English: Advanced Test, City & Guilds-IESOL or EmSAT Achieve English)

- Yes or No

------------------ NEXT STEP

text: FullName

email: Email

number: Mobile

dropdown select: Nationality

dropdown select: Country of residence

text: City name

all inputs are required. use same error reporting in template for fields that require


Please note there are hidden fields that i would like to include also, these hidden fields will extract information from url parameters and should be included in the email submission received:

hidden fields:

- source

- medium

- campaign

- term

Kemahiran: CSS, Javascript, PHP

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Tentang Majikan:
( 61 ulasan ) Amman, Jordan

ID Projek: #14817156

Dianugerahkan kepada:

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