WEBSITE DEVELOPMENT REQUIREMENT FORM Professional Website Design & Development Project Intake Form By Binary Raise Full Legal Name *Company / Brand / Organization Name *Your Position / Role In Organization *FounderCEODirectorManagerOwnerFreelancerIndividual ClientOtherFather’s Name *Date of Birth *Gender *MaleFemaleOtherNationality *Marital Status *SingleMarriedOtherHusband / Wife Name (If Applicable)Occupation / Profession *Primary Mobile Number *WhatsApp Number *Email Address *Telegram Username (Optional)Instagram Username (Optional)Company Website (If Already Available)Full Office / Business Address* *City *State *Country *Pincode *What Type Of Website Do You Need? *Business WebsiteCorporate WebsitePortfolio WebsiteE-Commerce WebsiteNGO WebsiteEducational WebsiteNews / Media WebsiteCyber Security WebsiteLanding PagePersonal Brand WebsiteMembership WebsiteBlog WebsiteBooking WebsiteCustom Web ApplicationOtherWebsite Name / Brand Name *What Is The Main Purpose Of This Website? *Describe Your Business / Organization In Detail *Do You Already Have A Domain Name? *YesNoIf Yes, Mention Domain NameDo You Already Have Hosting? *YesNoIf Yes, Mention Hosting ProviderDo You Need Help Purchasing Domain & Hosting? *YesNoDo You Already Have Logo & Branding Material? *YesNoUpload Existing Logo / Branding Files (Optional)Choose FileNo file chosenDelete uploaded fileMention Websites You Like For Inspiration *Mention Competitor Website Links (Optional)Which Features Do You Need? *Admin PanelContact FormPayment GatewayUser Login SystemWhatsApp IntegrationLive ChatBooking SystemBlog SystemMembership SystemCustomer DashboardFile Upload SystemMulti Language SupportSEO OptimizationSSL SecuritySpeed OptimizationSocial Media IntegrationNewsletter SystemPush NotificationsAPI IntegrationGoogle Maps IntegrationReview SectionCareer FormAppointment BookingCustom FormsOtherApproximately How Many Pages Do You Need? *1–5 Pages5–10 Pages10–20 PagesMore Than 20 PagesMention All Pages You Want On Website *Do You Need E-Commerce Functionality? *YesNoIf Yes, Approximately How Many Products?Do You Need Ongoing Website Maintenance? *YesNoPreferred Technology (If Any)* *WordPressCustom CodingReactLaravelPHPNode.jsDjangoNot SureOtherWill Multiple Admins Manage The Website? *YesNoDo You Need Training On How To Manage Website? *YesNoPreferred Project Start Date *Expected Completion Timeline *Urgent (Within Few Days)Within 1–2 WeeksWithin 1 MonthFlexibleEstimated Budget Range *Below ₹10,000₹10,000–₹50,000₹50,000–₹1 Lakh₹1 Lakh–₹5 LakhAbove ₹5 LakhDo You Need Priority Fast-Track Development? *YesNoAre You Comfortable With Online Meetings For Project Discussion? *YesNoPreferred Communication Method *WhatsAppEmailGoogle MeetCallUpload Reference Images / DocumentsDrag and Drop (or) Choose FilesUpload Aadhaar Front Side Photo *Choose FileNo file chosenDelete uploaded fileUpload Aadhaar Back Side Photo *Choose FileNo file chosenDelete uploaded fileUpload Your Latest Photo *Choose FileNo file chosenDelete uploaded fileDo You Confirm That All Information Submitted By You Is Accurate & Genuine? *YesNoDo You Understand That Project Timelines Depend On Requirement Complexity & Operational Workflow? *YesNoDo You Understand That Additional Features Requested Later May Affect Cost & Timeline? *YesNoDo You Agree To Maintain Professional Communication During The Project? *YesNoDo You Understand That Advance Payment May Be Required Before Project Initiation? *YesNoDigital Signature *Start signing your signature hereYour browser does not support e-Signature field.Consent *Yes, I agree with the privacy policy and terms and conditions. SubmitSave as Draft
