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Customer
First Name:
*
Last Name:
*
Date Of Birth:
*
CNIC:
*
13 digit CNIC # without dashes.
Cell#
*
11 digit Cell #, e.g. 03001234567
Profession:
Reference:
Residence Phone:
Office Phone:
E-mail:
*
Gender:
Male
Female
Other
Address:
*
Movie Genre:
-- Select --
Action
Drama
Comedy
Romance
Adventure
Sci-Fi
Sports
Horror
Documentary
Movie Type:
-- Select --
User Name:
*
Password:
*
Pin Code:
*
4 digit Pin Code, e.g. 1234
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