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NEW USER REGISTRATION
PERSONAL INFORMATION
First Name
*
(Space,Sp.Character Not Allowed)
Middle Name
(Optional)
Last Name
*
(Space,Sp.Character Not Allowed)
Gender
Select Gender
Male
Female
Nationality
Indian
Other
Mobile Number
*
Occupation
Select Occupation
Bussiness
Service
Other
Email ID
DOB
*
ADDRESS INFORMATION
Flat No
Floor Number
Building Name
Pincode
Street Road
Location
City Area
Select City Area
District
State
LOGIN INFORMATION
LogIn Id
*
Check Avialability
Password
*
(Exp:Username@1xyz)
Select Secret Question
Select Secret Question
*
Answer of selected Question
*
Password must be between 6 and 15 characters,contain at least one digit and one alphabetic character,at least 1 upper case character, and contain at least one special character.
Captcha
*
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