Institution Registration

Institution Name *

Institution name is required

Place *

Place is required

District *

District is required

Phone Number *

Valid phone number required

WhatsApp Number

Email Address *

Valid email is required

Team Leader Name *

Team leader name is required

Institution Logo

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Click or drag to upload your institution logo

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Account Credentials

Password (never forget the password) *

Password must be at least 6 characters. (never forgot the password)

Confirm Password *

Passwords must match

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