Do css coding on elementor forms

I have attached a image with a form, and i need you to develop the Form same as in the image by using only elementor and css coding. If it is possible first develop it in you local host and share me the video sample of the working form created in your local host.
Then After i release payment you can settle the template file. This is a urgent requirement. The proposal will be selected like first come first go basis.
If any coders from india are welcomed.
!urgent hiring! - use this at the starting of your proposal