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Employer ID (Shop Code) *

Full Name *

Email Address *

Password *

Profile Image *

Guardian Full Name *

Guardian Occupation *

Guardian Residence *

Guardian Contact Number *

Employee Contact Number *

Residential Address *

National ID Number *

Date of Birth *

Upload National ID Front *

Upload National ID Back *

Upload Guarantor Form (PDF or DOC) *

I hereby declare that the information provided is true and accurate. I agree to abide by the rules and regulations of the shop.

* I agree to the above declaration