IZU MIS
Member Registration
Full Name
Full Name should contain only letters, spaces, or apostrophes.
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Phone Number
Phone number must start with 078, 079, 073, or 072 and be exactly 10 digits.
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ID Number
ID number must be exactly 16 digits.
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Role
Select role
Member
Please select a role.
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Join Date
Province
Select Province
District
Select District
Sector
Select Sector
Cell
Select Cell
Village
Select Village
Shares
Please enter a valid number of shares.
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Status
Passive
Please select a status.
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Username
Username should contain only letters, spaces, or apostrophes.
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Password
Password must be exactly 5 digits.
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Register
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