Section 1: Client Information

Client / Business Name *

Contact Person *

Phone Number *

Email Address *

Business Location

Business Registration Name If applicable.

Existing Website Leave blank if you do not have a website.

Section 2: Website Requirements

1. What type of website do you need? * Select all that apply.

Business/Corporate Website E-commerce/Online Shop Portfolio/Personal Website Real Estate Website School/Institutional Website NGO/Organization Website Blog/News Website

Other website type

2. What is the main purpose of your website? *

3. Who is your target audience?

4. What pages would you like on the website? Select all that apply.

Other pages

5. Features Required Select all that apply.

WhatsApp Integration Contact/Inquiry Form Online Payments Booking/Appointment System Customer Login/Accounts Product/Service Management Google Maps Social Media Integration Search Engine Optimization (SEO)

Other features

Section 3: Domain, Hosting & Content

Domain Name

Upload Company Logo (if available) Accepted formats: PNG, JPG, JPEG, SVG, WEBP or PDF. If you do not have a logo, select “Required” above.

Upload Company Profile (if available) Accepted formats: PDF, DOC or DOCX.

If you do not have a company profile, briefly describe your business and what you do.

Reference Website 1

Reference Website 2

Section 4: Design Preferences

Preferred Brand Colours

Preferred Website Style

If other, please specify

Additional Design Instructions

Section 5: Project Schedule

Please provide your preferred dates for each project stage.

Project Stage	Planned Date
Client briefing and requirements gathering
Receipt of deposit and project confirmation
Submission of website content and materials
Initial design/layout presentation
Client review and feedback
Website development
Testing and revisions
Final approval
Website launch and handover

Preferred Project Start Date

Preferred Launch Date

Any deadline or special event to consider?

Scheduling note: The schedule will be confirmed after reviewing the project scope, receiving the required content and materials, and agreeing on the payment terms. Delays in feedback or submission of content may affect the launch date.

Section 6: Budget & Payment

Estimated Budget

Quotation Provided?

Yes No

Deposit Agreed

Payment Terms

Section 7: Additional Requirements

Please share any other information, integrations or functionality you would like us to consider.

Client Confirmation

I confirm that the information provided above accurately represents my website requirements and will be used to prepare the project scope and schedule. *

Client Name *

Signature (if applicable)

Or Upload a Signed Document Optional. Accepted formats: PDF, PNG, JPG or JPEG.

Date