FAHC PCRS
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Email: (This is your username)
The email field is required.
Invalid email address format.
Password:
The password field is required.
Confirm password:
The confirm password field is required.
The password and confirmation password do not match.
First Name:
The First Name field is required.
Last Name:
The Last Name field is required.
DOB:
The DOB field is required.
Please enter date in MM/DD/YYYY format
DODID: (Look on back of CAC card. 10 Digits)
The DODID field is required.
Minimum 10 characters required.
Please enter only numbers.
PHONE: (Example: 333-444-5555 )
The PHONE field is required.
Enter valid Phone number
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