mrams (test)

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create an account

Create an account below. Once completed, you will receive an activation email to activate your account.

Once you activate your account, you can log in and apply for an agent appointment.

(Fields marked with * are mandatory.)

APPLICANT

title:

* surname:

* given name(s):

phone:

To add extension use: ext 123

mobile:

LOGIN DETAILS

* username:

This is your email

* confirm username:

This is your email

* password:

Your password should be at least 8 characters

* confirm password:

VERIFICATION

* verification:

Type the letters you see in the picture above (NOT case-sensitive),
this ensures that a person, not an automated program, is filling this form.

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