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User name
:
*
User name:
user name should be 4 ~ 20 characters
the first character should be an alphabet in small letter.
Please do not use your identity card numbers or other personal data as user name.
*
Original Password::
Change Password
Re-type password:
Please fill in your personal data
:
Name
*
Gender
Male
Female
Nationality
( please fill in nation if not Taiwan )
Address
email
*
Marital status
Married
Single
Date of birth
*
(e.g. 1971/03/22)
Age
*
years old
Telephone
*