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4. Password: (6-32 characters, Case Sensitive)
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1. First / Last Name: e.g. John / Smith
2. Country: Select country Pakistan United States United Kingdom Canada AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCongo (Zaire)Cook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFederated States of MicronesiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldova Republic OfMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSt Pierre Et MiqSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzania United Republic OfThailandThe GambiaTogoTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUnited States Virgin IslandsUruguayUzbekistanVanuatuVenezuelaViet NamWalesYemenYugoslaviaZambiaZimbabwe  e.g. Suite #100
3. City: Select a City Abbottabad Ahmadpur East Ali Masjid Arifwala Askoley Attock Badin Bagh Bahawalnagar Bahawalpur Bannu Batagram Bela Bhakkar Bhimber Buner Burewala Charsadda Chilas Chiniot Chishtian Mandi Chitral Dadu Darra Adam Khel Daska Dera Ghazi Khan Dera Ismail Khan Faisalabad Ghanche Ghizer Gilgit Gojra Gujranwala Gujrat Gwadar Hafizabad Hala Hangu Haripur Hasilpur Haveli Lakha Hyderabad Islamabad Jacobabad Jamrud Jamshoro Jandola Jaranwala Jhang Sadar Jhelum Jiwani Kalat Kamoke Kandhura Karachi Karak Kasur Khairpur Khanewal Khanpur Khaplu Khushab Khuzdar Kohat Kohistan Lahore Lakki Marwat Landi Kotal Larkana Lasbela Lower Dir Malakand Manshera Mardan Mianwali Mingaora Miram Shah Mirpur Mirpur Khas Mithi Multan Muridike Muzaffarabad Muzaffargarth Nawabshah Nowshera Okara Ormara Pakpattan Parachinar Pasni Peshawar Pirmahal Quetta Rahim Yar Khan Ratodero Rawalpindi Sadiqabad Safdar Abad Sahiwal Sargodha Shangla Shekhupura Shikarpur Sialkot Skardu Sukkar Sukkur Swabi Swat Tando Adam Tank Thatta Toba Tek Singh Torkham Upper Dir Wah Wana  (required) (required)
4. Province:
5. Postal Code: e.g. 60000
6. Phone Number: e.g. 03006347110
7. Website: e.g. http://abc.com
8. Gender: Male Female
9. Security Code: