Visa Verification Page Development

I need a verification page to be developed, where users can input their personal information and visa details for verification.

Key Features:
- The page should include fields for the user's Name, Passport/ID number, and Visa status.
- Successful freelancers should include detailed project proposals in their application.

The primary objective of this task is to ensure that the provided information is correct and valid. The verified data should be stored securely in the backend for future reference and analysis.

Ideal Skills and Experience:
- Proficiency in web development, particularly in backend and form handling.
- Experience in building verification systems or similar data validation mechanisms.
- Knowledge of data security and privacy protocols.
- Strong understanding of user experience design to ensure a smooth and intuitive interface for input and feedback.

I am looking for a professional who can deliver a secure, user-friendly, and efficient verification page that meets the specified requirements and can handle a high volume of data.

Same to same like attached video