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Register as a Coordinator

Name  
NRIC This to verify your identity.
Contact No We will keep you updated through this contact number.
Gender Male       Female
Email We will keep you updated with available assignments and changes and updates with the assignment.
Password Password must be at least 8 alpha-numeric characters.
Verify Password  
Coordinator Organization Name
(if applicable)
Coordinator Organization Name(if applicable)
Age Years/Months/Days (if applicable)