THE MWALIMU NYERERE MEMORIAL ACADEMY
USER REGISTRATION FORM
LAST NAME:
(LASTNAME)
FIRST NAME:
(Firstname)
DATE OF BIRTH:
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January
February
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April
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July
August
September
October
November
December
(dd-mm-
yyyy
)
ID RegNo:
POSITION:
student
Lecturer
Administrator
Technician
USERNAME:
(flastname)
PASSWORD:
RE-ENTER PASSWORD:
EMAIL:
...............
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