Create Data Entry Form software

I need a data entry form software. Form must contains First Name Last Name Email ID Phone No Date of Birth I have 5 client machine. In a local area network. This software will install in each machine. The main database will be save in server. When any one click on the client machine software, it will automatically linked to server and saved all data whatever they will type in those data form make sure that no one can enter any duplicate data. That will be check through email id. Date of birth must be in mm/date/year format. there is also provision that users who enters data can edit those data also. and also some invisible entry should be their which only can view from server, which will be generated automatically. Like date of entry of those data. user name who enter that data. database will be in ms -access. location of databases is : \\[login to view URL]\database\[login to view URL] or \\server\database\[login to view URL]