Form automatic(random) calculation

MNEU need a plugin than ask the better, you HTML if is possible, where it will be necessary to enter a name, Choose a region of Russia, to put the year of birth and press calculate!! Next, the program 10-15 seconds which makes the simulated loading databases... which will generate a random cifar... and below a button to all! you will need to do it and stick it on my site to function properly!