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Title

Please select a title

First Name

First name is required

Middle Name

Last Name

Last name is required

Email address

Please provide a valid email address (e.g., name@example.com)

Enter a valid email address you can access

Phone Number

Please enter a valid Ghana phone number

Enter a valid Ghana phone number (10 digits)

Password

At least 8 characters with uppercase, lowercase and numbers

Password must be 8+ chars with uppercase, lowercase and numbers

Confirm Password

Passwords must match and be 8+ characters

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