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Personal Information
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Must be exactly 10 digits
Location Information

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Between -90 and 90
Between -180 and 180
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Personal Details

Full Name:
National ID:
Phone Number:

Location Details

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Division:
District:
Ward:
Coordinates:

Signature

Signature

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By submitting this form, I hereby certify that:

  • The information provided is accurate and complete to the best of my knowledge.
  • I understand that providing false information may lead to legal consequences.
  • I consent to the collection and processing of my personal data for registration purposes.
  • I acknowledge that this information will be stored securely and used only for its intended purpose.

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