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* LEA/CDS Code
LEA/CDS Code is required. LEA Code is invalid

* Employee Name Employee name is required.

* E-mail E-mail is required. E-mail format is invalid.

* Confirm E-mail Confirm E-mail is required. The E-mail and Confirmation E-mail must match. Confirm E-mail format is invalid

* Password
(Password length minimum: 7, and 1 Non-alphanumeric.) Password is required.

* Confirm Password Confirm Password is required. The Password and Confirmation Password must match.

* Security Question Security question is required.

* Security Answer Security answer is required.