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You have succesfully Edited your Profile.
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Edit Profile
All fields marked with
*
are compulsory.
Username:
{username_value}
Password:
*
Must be
at least
five(5) characters long
, may contain numbers(0-9) and upper and lowercase letters (A-Z, a-z), but
no spaces.
Re-Type Password:
*
Recalling Your Password
In case you forget your password we would identify you with this information.
Hint Question:
[select a question to answer]
{selHint_value}
*
( Please select a Question from this box )
Hint Answer:
*
Something about yourself
(All information provided by you will be kept confidential.)
First Name:
*
Last Name:
*
Occupation:
*
Company Name:
Department Name:
(If you are a Govt. Official)
Designation:
Industry:
{industry_value}
If others please mention :
E-mail Id:
*
(back up email)
Gender:
Male
Female
*
Birthday:
month1
{month1_value}
Date
{date1_value}
(Year e.g. 1980)
*
Address:
*
City:
*
State:
*
Pin code:
*
(Please note that the Pin code should be maximum of 10 digits)
Country:
*
Phone:
(Optional)
Mobile:
(Optional)
Fax:
(Optional)
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