User Name :

{fld-mlm_user_id class="form-control" placeholder="User Name" style="width:300px"}

{err-mlm_user_id}

First Name :

{fld-first_name class="form-control" placeholder="First Name"}

{err-first_name}

Last Name :

{fld-last_name class="form-control" placeholder="Last Name"}

{err-last_name}

Email :

{fld-email class="form-control" placeholder="Email"}

{err-email}

Mobile :

{fld-mobile class="form-control" placeholder="Mobile"}

{err-mobile}

Password :

{fld-passw class="form-control" placeholder="Password"}

{err-passw}

Confirm Password :

{fld-confirm_passw class="form-control" placeholder="Confirm Password"}

{err-confirm_passw}

Captcha Code :

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Enter the code :

{fld-vcode class="form-control"}

{err-vcode}

{fld-sb class='btn px-5 btn-primary-dark transition-3d-hover'}