HI, I can help you to create dual language website for data entry purpose with all mentioned provisions like
-> Record the details and option to send results to users/customers.
If you do have any reference websites in mind , please give me site URL to have a look, which will help me to get an idea of your taste :) Else we will suggest you the best one.
Please get back to me to discuss more details.
Looking forward for your quick reply.
To know about my experiences, services, portfolio and client reviews, please check
https://www.freelancer.com/u/psenthilkumar.html
Thanks,
Senthil