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Full Name *

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CNIC *

Format: XXXXX-XXXXXXX-X

Please enter a valid CNIC in format: XXXXX-XXXXXXX-X

CNIC Expiry Date *

Select a future date

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Email Address *

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Phone Number *

Pakistani mobile number (11 digits starting with 03)

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Address *

Please provide your complete address (at least 10 characters).

CNIC Image *

Instructions:
• Click "Start Camera" to begin
• Position your CNIC in the frame
• Ensure all text is clearly visible
• Click "Capture CNIC" to take the photo
• Use "Retake" if you are not satisfied with the image

Password *

Confirm Password *