New Government Agency Personnel
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OSP ID
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*
Government Agency
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First Name
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*value required
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Does not match name formation
Last Name
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*value required
*
Does not match name formation
Email Address
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*value required
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Does not match emailaddress formation
Phone Number
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*value required
*
ID-Card Number
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*value required
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ID-Card (Front)
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*value required
Only *.pdf file format is allowed!
The file size should not be more than 250 KB.
ID-Card (Back)
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*value required
Only *.pdf file format is allowed!
The file size should not be more than 250 KB.
Profile ID
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*value required
Password
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*value required
Confirm Password
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*value required
Password and Confirm Password Not Equal!
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