* User-ID   (4 to 16 Characters)
* Password    (6 to 16 Characters)
* Re-type Password  

  Personal Information

* First Name  
* Last Name  
* DOB    (Month Day Year)
* Gender  

 Address

Email ID  
* Occupation  
* House No  
Street  
* Location  
* City  
* State  
* PIN  
Phone No    Res
   Mobile
   Office
  * mandatory values
   




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