Irish Maritime Radio Licence System (IMRAD) - Register

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First Name: *

Last Name: *

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Minimum 8 characters
At least 1 lowercase letter
At least 1 uppercase letter
At least 1 number
At least 1 symbol

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Confirm Password: *

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Address Eircode:

Address Line 1: *

Address Line 2: *

Address Line 3:

Address Line 4: