Hi,
Since you've said you are new in this field, maybe the appropriate question is "Can you provide me some tutorial sites to help me on making my application?" or "Can you suggest some helpful books and where can I download them?". This site may help you.
www.w3schools.com[
^]
If you already know the basic, then it's time for you to make a plan on how your Application Form will look like. I'll give you some guidelines to design your Application Form.
0. Your Application Form (AF) must comply to what you really need. In your case, you just specified that above.
1. It must be readable and easy to use. Or what we call, user-friendly.
Designing requires a lot of understanding and logic of what you want to achieve.
So, basically, we can't dictate you on how it must be designed.
I suggest you try to self-study on your chosen programming language and plan for your AF. If you're stuck when you start coding, then you can come back and ask questions. :)
Thanks.