Private data registration form

You have to keep quite simple rules to join as.

	Name:*
	Surname:
	Login:*
	Password (>= 3 symb.):*
	Confirm password:*
	E-mail:**	do not show
	Phone number:	invisible
	Home page:
	Country:	Afghanistan Albania Algeria Andorra Angola Anguilla Antarctica Antigua & Barbud Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Repu Chad Chile China Christmas Island Cocos (Keeling) Isla Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Diego Garcia Djibouti Dominica Dominican Republic East Timor Easter Island Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Islands (Ma Fiji Finland France French Guiana French Polynesia French Southern Terr Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey, C.I. Guinea Guinea-Bissau Guyana Haiti Heard and McDonald I Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republ Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey, C.I. Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiri Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia, Fed. Sta Midway Islands Miquelon Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Marianas Is Norway Oman Pakistan Palau Panama Panama Canal Zone Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Qatar Reunion Island Romania Russian Federation Rwanda Saipan San Marino Sao Tome & Princ Saudi Arabia Senegal Serbia, Republic of Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre St. Vincent and the Sudan Suriname Svalbard and Jan May Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania, United Rep Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Isl Tuvalu U.S.Minor Outlying I Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (Brit Wake Island Wallis and Futuna Is Western Samoa Yemen, Republic of Yugoslavia Zaire Zambia Zanzibar Zimbabwe
	Birstday:	12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 2002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900189918981897
	Portrait (100х100pix.):***
	About me:

* Required data. However I would appreciate for full information about you.

** At this e-mail will send activations code of your account. In case you do not receive this e-mail contact I and your account will activate.

*** You have possibility to upload picture jpg or gif file up to 1 MB (wow, it will be long time to wait for complete). The picture will resized till reasonable 6-15kB and will inserted in 100x100 pix. square. I recommend prepare picture by you.