Sign-up form

This is the basic look of my form without table

First Name Add your first name
Last Name Add your last name
Date of birth E.g. 6/17/79
Gender Select your gender
Phone Add a valid Number
Email Add a valid address
Password Min. size 6 chars
Confirm Password
Building Select your building
Dont See your building Click Here to request it be added.
Unit # Enter your unit number

Affiliations

Please select your affiliations

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Media Outlet Employeer
Upload image Upload a profile image
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