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Username * 6-20 ѡ / Letters (a-z, A-Z, 0-9)
Password * 6-20 ѡ / Letters (a-z, A-Z, 0-9)
Confirm Password *
Email *
(Name) *
ʡ (Surname) *
ŢѵûЪҪ
(ID Card/Passport No.)
*
(Gender) *
ѹ/͹/ Դ
(Date of Birth : DD/MM/YYYY)
*
Ѿ (Telephone) *
ѾͶ (Mobile Phone) *
   
(Address) *
Ӻ/ǧ (Sub district) *
/ࢵ (District) *
ѧѴ (Province) *
ɳ (Postal Code) *
   
ѺѴ觢ͧ
(Mailing Address)
Ӻ/ǧ (Sub district)
/ࢵ (District)
ѧѴ (Province)
ɳ (Postal Code)