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Step 1 of 2: Personal Info
Full Name
Email Address
Date of Birth
Day
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Month
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Year
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1946
Please select your full date of birth.
Gender
Select
Male
Female
Phone Number
Institution / University
Select your institution
Kabwe Collge of Nursing & Midwife
The Copperbelt University
Next Step
NRC Number
Next of Kin Phone
Next of Kin Name
Password
Confirm Password
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