To start the game click on the green Start Button. If you have an Autosave or other Saved Game Data they will appear here. Click on the game you want to load. Otherwise, Start New Game will be available.
Create your character by pressing the left and right buttons for each feature and then type a name on the upper text box.
When done, click Create which will take you to the first game screen.
You can have up to ten Saved Games including the Autosave data. Autosave happens periodically but not daily in-game.
You can manually save your game in the World Map view.