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Form Pendaftaran
FORM PENGISIAN UNTUK PELANGGAN BARU
Nama App (required)
Kategori App (required) Individu/SosialCompanyCommunityBeauty & HealthSport VenueEducationEOFood & BeveragesRetailPublic FigureClinicHospitalBankRestaurantCaféHotelOnline ShopTravelLogistic
Ukuran App (required) Small AppMedium AppLarge App
Nama (required)
Email (required)
WhatsApp (required)
Tanggal Lahir
Nomor KTP (required)
Provinsi (required)
Kota (required)
Alamat (required)
Kode POS (required)
Nama Pemilik Rekening
Nama Bank (required)
Cabang Bank (required)
No. Rek (required)
NPWP (required)
Social Media
Facebook (required)
Twitter (required)
Website
Instagram
LinkedIN
Youtube
Blogspot
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