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PERSONAL DETAILS
* First Name
Middle Name
* Last Name
* Gender   
* Date of Birth     Date Format:dd/mm/yyyy(e.g. 01/01/1900)
CONTACT DETAILS
PO Box
* Address
 Address2
* City
 State
* Country
Zip 
 
Phone   8 Digits - Format(e.g., 36108291)
* Mobile   8 Digits - Format(e.g., 36108291)
Fax   8 Digits - Format(e.g., 36108291)
IDENTIFICATION DETAILS
* ID Type
* ID Number
* ID Issued By
* ID Issued At
 Issue Date     Date Format:dd/mm/yyyy(e.g. 01/01/1900)
* Expiry Date     Date Format:dd/mm/yyyy(e.g. 01/01/1900)
* Nationality
LOGIN INFORMATION
* Email
* Password   Password has minimum of 6 Alphanumeric(A-Z, a-z, 0-9)
* Confirm Password
* Challenge Pass Phrase
* Challenge Answer
OTHER INFORMATION
* Occupation
* Employer Name
 Employer Address
 Address2
 Phone 8 Digits - Format(e.g., 36108291)
* How did you hear about us
* Notify By  Email    SMS
NOTE
Marked as (*) Asterisks are compulsory

       
 
     
 
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