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Full Name *
Birthdate *
Account Role *
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Admin
Admin Registration Key *
This key is required to create an Administrator account.
Mobile Number (Philippines) *
+63
Enter 10 digits (e.g., 9171234567 for +63 917 123 4567)
Password *
Weak
At least 8-12 characters
Mix of uppercase & lowercase
At least one number
At least one special character
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