Dec 30, 2024 10:55:40 PM Ist

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Your Contact Details

First Name

This Field is required and allow only Alphabets

Last Name

This Field is required and allow only Alphabets

Street

This Field is required

City

This Field is required

State

This Field is required and allow only Alphabets

Zip Code

This Field is required and allow only Numbers

Pen Name in Malayalam

This Field is required and allow only Alphabet

Phone

This field is required and allow only Numbers(Like (000)-000-0000)

Email Address

This field is required and allow valid email address(example@gmail.com)

Password

Must contain at least one number, one uppercase , one lowercase letter and at least 8 or more characters.✔

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