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First Name
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Last Name
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Password
Must be at least 6 characters
Must contain at least one lower case letter, one upper case letter, one digit and one special character
Valid special characters are - !@#$%^&+-
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Password must be at least 6 characters and contain one lower case letter, one upper case letter, one digit and one special character (!@#$%^&+-=)
Confirm Password
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