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Choose an username / 選擇用戶名
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Last Name / 姓氏
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First Name / 名字
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Email Address / 電郵地址
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Contact Number / 聯絡電話
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Fax Number / 傳真號碼
Occupation / 職業
Password / 密碼
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密碼長度最少8個字元,必需包含英文字母及數字。Password shall have a minimum of 8 characters with a mix of alphanumeric and lowercase letter.
Re-type Password / 再次輸入密碼
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本人確定我上載到輔助器具交易平台的物品沒有違反上述條款。 I hereby declare that the item(s) I’m uploading to the Rehabilitation Furniture/Equipment Exchange Platform does/do not violate the above terms.
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Required field
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