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Firstname
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Middle Name
Last Name
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Gender
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Male
Female
Other
Date of Birth (B.S.)
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Date of Birth (A.D.)
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CitizenShip Photo Front and Back
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Citizenship Number
*
National ID
Issue District
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Citizenship Issue Date (B.S.)
*
Citizenship Issue Date (A.D.)
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UserName
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Email
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Mobile Number
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Password (Must Have 1 Uppercase, 1 Symbol, 1 number and 8 digits)
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Confirm Password
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