User Registration | Cassava Seed Tracker

Account Information

Enter preferred username, email and password required for login.

Username*

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Email*

Enter email address to be used for registration

Password*

Enter Password Confirm Password

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Name*

Prefix First Last

Profile Picture

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Gender*

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Phone*

Input phone number

Profession*

Select all that applies

Specify other profession*

Briefly describe what you do (500 chars max)*

Name of Organization*

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Organization type*

Geocoder

Locator Button

Address*

Street Address City State / Province / Region Country

If your location is not automatically geo-located, Please manually enter your full address

Coordinates

Affiliation to seed projects*

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Other seed project affiliations

Please select all user types that apply*

Specify other User type

Contact information is accessible to registered users only*

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This is a test to confirm you are human.

Phone

This field is for validation purposes and should be left unchanged.