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Email address(ID)  
Password  
Firstname  
Lastname  
Birth date      
Nationality  
2nd Email address
Starting Year of microimplant  
Name of Graduated Dental College  
(ex. Kyungpook National University, Daegu, Korea)
Mail address  
Telephone No     (ex, +82-10-1111-7777)
Year of Graduated Dental College  
Are you Orthodontic Specialist?   yes   no
Institution Name of Orthodontic Training  
(ex. KNU Dental Hospital, Daegu, Korea)