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For 18+ only to confirm your eligibility for the National Hero Membership, we need you to provide a few details. Please note: Your information will be kept confidential at all times.
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First Name
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Last Name
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Phone
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Date of birth
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Gender
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Nationality
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Account Details
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Username
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Personal Email Address
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Password
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    University Details
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    University Name
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    Subject
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    Student ID: File Upload
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