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Username

First Name

Last Name

Email

Phone Number

User Role

Merchant University MultiMerchant

Required

Merchant registration

Merchant Number

University registration

University Number

Multi Merchant registration

Multimerchant Number

Password length must be at least 16 characters.
Password must contain at least 1 upper case character.
Password must contain at least 1 lower case character.
Password must contain at least 1 number.
Password must contain at least 1 special character.
Password cannot be the same as a previous password.

Password

Repeat chosen password