I want a hTML+ javascript form

I want a hTML+ javascript form

I want a java script+html form where the users have to input date of birth , mobile number month and year and submit .
On click submit the user will redirect to the following url

The Bold letters are the data collected from the form.
This is a Mobile form.


This is a Mobile form so it should fit in mobile. That's all.

Skills Required

Html Java


yes i can do it for you. i can provide as you want on bid. thank you.

order from me and i will have this done within 24 hours.
i will build the form according to your specification.

i can do this for you

Bid On Listing Created 4 years ago in Programming

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