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Block Name
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GP Name
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District Name
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Phone Number
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Username
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Username must contain minimum 5 characters
Username must not contain spaces
Password
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Password must not contain spaces
❌ Must be contain minimum 8 characters
❌ Must contain at least one letter
❌ Must contain at least one number
❌ Must contain at least one special character
Confirm Password
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Passwords do not match
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