Custom Payment Module for OpenCart

Dear future developers, I need you to develop a custom payment gateway for OpenCart. Well we want to sell in credit our products, and our credit company require some information from customer. What we need: When customer select the payment as IN CREDIT, will go to another page where will be insert some information as 1. First Name 2. Last Name 3. Middle Name 4. Personal ID 5. Date of Birth 6. Place of Residence A) Street Name B) Home Number C) Aparament Number D) City E) State F) Home Tel. G) Mobile Tel. H) Work Tel. 7. Marital status A) Single or Married B) Nr. of dependent family members 8. Housing Type A) Personal property or rent or with parents or mortgage B) Land number C) Street Name D) House Number E) Aparatement Number 9. Car owner A) Make/model B) Production year 10. Employer A) Current Employer B) Current position C) Employer address D) Length at current employment E) Total work lenght 11. Financig purpose and terms A) Good/service required to finance (All products that buy from our website) B) Supplier of good/service 12. Terms A) Price of good/service (Total Price of Goods) B) Requested amount of the loan C) Period (5 10 15 20 25 30 35 40 45 50 MONTHS) D) Loan payment date (Date when customer place the order) 13. Financial information A) Monthly income sources B) Salary C) Dividends D) Pension E) Income of other family members F) Transfers from abroad G) Rent H) Income from services rendered I) Other income 14. Credits, leasing and active loans of the family and the companies where you have a majority share. A) Financial Institution B) Loan Balance C) Currency D) Monthly rate E) Loan purpose F) Pledged assets (Yes or No) 15. Contact person (spouse, parents, children) A) Name, Surname B) Current Employer C) Current position D) Home Tel. E) Work Tel. F) Mobile Tel. 16. Copy of ID (To upload customer copy of ID) A) Front Copy of ID B) Back Copy of ID C) File of ID (Additional) After customer fill are required filled all information will go to our database, and on customer informatoion page will show all this fild. Also we want on customer page information a button to get all this information in PDF file. Because we need to send by fax to our credit company. On customer page will show that order is completed need to wait for confirmation from credit company. You can find information about all required filled on [login to view URL] Also PDF format file on [login to view URL] Thanks