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Registration Form

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            * Must fill in.

01) Login Name: * (Maximum 10 chars)

02) First Name: *

03) Last Name: *

04) Password: * (Maximum 20 chars)

05) Confirm password: *

06) Sex: Male     Female

07) Occupation:

08) Telephone No:

09) Address:

10) Email Address: *

11) Birth Day:

12) Your Opinion: