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Company Information
* Company Name :
* Person in charge :  
* Company Address :
* Company Telephone : (e.g. 04-xxxxxxx)
Company Fax :

Personal Information
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Extension :
Fax :
* User Name :
* New IC : (e.g. 501203078888, do not include -)
* Position :
* Email :
* Login Name :
* Password : (max 10 alphanumeric)
 
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System Network Integration