need some changes in script

[yasser]

hi.i need to add a field that alow user to write some discription or a phone number or just a text box that each time that user is sending the file , user should fill it.like this page(all field of the page is not needed) : http://www.pargarchap.com/بارگزاری-فایل
the domain adress is : upload.pargarchap.com
the script name is kleeja
i really need this . thanks