Custom's certificate in Captivate with learner's name and date

Hi,
is it possible to create a learner’s course certificate for printing (PDF) without using a LMS? I thought of a javascript running at end of the course. At the beginning of the course the learner would have to be asked to enter his name and date.
Shall it be feasible to generate such a certificate in CP (without using a LMS)? May you help me to get it done?
I really appreciate your help.
Best regards
Philipp

This might get you started.
http://blogs.adobe.com/pdfdevjunkie/2009/12/populating_pdf_form_fields_fro.html
You would also need some JavaScript to write the query strings to the URL.
http://stackoverflow.com/questions/5999118/add-or-update-query-string-parameter

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