Micro Project -- Build a Single Page Website

Hi, I need a website to be developed ,where the user selects his/her name,dob,gender,zipcode,email-address from my landing page (yet to be designed) should be validated first based on the response given by main website ([login to view URL]) and then push the data to the main website again -->automatically. The data entered will be passed to the main website via [login to view URL] Before the data is pushed it should be validated,and the validation should happen based on [login to view URL] [login to view URL] save the data's to my database and then push again the data's to the [login to view URL] ,such that automatically name,dob,gender,zipcode,email is filled on [login to view URL] and then redirect to main profile page. Note : From the above mentioned URL ,all are static except the attribute &[login to view URL] will be dynamic all time.I need to figure how that value is [login to view URL] someone picks up the project ,i will discuss on this. Let me know if you have any other queries, Thanks Karthik