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title
first name *
family name*
organization *
department
address *
postcode/zip *
city *
country
telephone (with country code)
fax (with country code)
e-mail *
notes
   
username *
Requirements: no spaces allowed
password *
Requirements: min length:6; different from username
Allowed characters: A-Z a-z 0-9 . - ! @ # $ * + % _