*NEET ROLL No. :

*First Name :

Middle Name :

Last Name :

* Mobile :

* Email :

*Date Of Birth :

* Password :

Password must be between 8 and 30 characters.
Password must contain at least one uppercase, or capital, letter (ex: A, B, etc.)
Password must contain at least one lowercase letter.
Password must contain at least one number digit (ex: 0, 1, 2, 3, etc.)
Password must contain at least one special character -
for example: $, #, @, !,%,^,&,*,(,) -

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