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| Field | Description |
|---|---|
| Application Type | Indicator specifying whether the applicant is applying as an Application Coordinator or Standard User. |
| First Name | First name of the applicant. |
| Middle Initial | Middle initial of the applicant. |
| Last Name | Surname of the applicant. |
| Social Security Number | Social Security Number of the applicant. |
| Password | Six-character password created by the applicant. |
| Re-enter Password | Repeat of the six-character password entered in the Password field. |
| Phone Number | Telephone number of the applicant. |
| Electronic mail address of the applicant. | |
| Agency | Name of the Federal agency (and program) participating in CAIVRS with which the lending institution is authorized to do business. |
| Lender ID | Ten-character identifier issued to the lending institution by a Federal agency (and program) participating in CAIVRS. Note: For Veterans Affairs, this is the first 10 characters of the ID issued. |
| Organization Name | Name of the lending institution that employs the applicant. |
| Mother's Maiden Name | Surname of the applicant's mother before marriage. |
See Also
CAIVRS Coordinator and User Registration - Background
CAIVRS Coordinator and User Registration - Processing
CAIVRS Coordinator/User Registration Results Page - Field Descriptions