Profile details

Done.

Login details

Username

{imat_username}

Password

************

Basic Profile Details

First name

{imat_firstname}

Middle name

{imat_middlename}

Last name

{imat_lastname}

Gender

{imat_gender}

Marital Status

{imat_maritalstatus}

Birth of Date

{imat_birthdate}

Your contact information

Address

{imat_address}

Apartment Number

{imat_apartnum}

Street name

{imat_streetname}

Zip

{imat_zip}

Country

{imat_country}

Email

{imat_email}

City

{imat_city}

State

{imat_state}

Cellphone

{imat_cellphone}

Homephone

{imat_homephone}

Workphone

{imat_workphone}

Occupation

Occupation

{imat_occupation}

Medical Insurance

Medical Insurance Plan Name

{imat_insurance}