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Please fill the below details to register with ADFH.

Type of Registration
Personal Details
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Contact Details
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{{ errors.first('mobile') }}
{{ errors.first('officeTel') }}
{{ errors.first('homeTel') }}
{{ errors.first('friendsCellNo') }}
{{ errors.first('fax') }}
{{ errors.first('poBox') }}
{{ errors.first('address') }}
{{ errors.first('remark') }}
Password
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Password Must be 8 Characters including Uppercase,lowercase letters, symbols and numbers. e.g Rf78ca61!
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Verification
For Organizations
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