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First Name
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Last Name
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Email address
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This mail id will be used for verification and further processes
Country
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South Africa
State / Province
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Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
North West
Northern Cape
Western Cape
Address
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The address field format should be street number and name, followed by the suburb and city name
Postal Code
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Phone Number
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+27
Date of birth
ID Number
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ID Number should contain 13 digits, starts with date of birth (YYMMDD) and other 7 digits
Password
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Password confirmation
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