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FORMULIR PENDAFTARAN SCP
Entri Data Calon Member SCP-TIM BLUE1
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SPONSOR
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User Name dan Nama Sponsor yang Membawa Anda, Contoh: BLUE1
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USERNAME / NICKNAME
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Nama User Pilihan Anda
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NAMA LENGKAP
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Nama Lengkap Anda Sesuai Rekening BANK
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NOMOR KTP
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Nomor Kartu Pengenal Anda
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TGL. LAHIR
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Contoh : 01 OKT 1980
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JENIS KELAMIN
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LAKI-LAKI
PEREMPUAN
PROVINSI dan KABUPATEN
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Contoh: KALIMANTAN BARAT / SANGGAU
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NO. HP AKTIF
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NB. Data User ID dan Password akan dikirim ke no. HP ini, Contoh : 81253642221
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ALAMAT EMAIL AKTIF
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NB. Email ini untuk meng-Aktivasi Akun Perdana
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NAMA BANK dan NO. REKENING
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Contoh: BNI - 022341234
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AKUN FACEBOOK
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Contoh:
https://www.facebook.com/harris.wahyudin.5
Your answer
PIN BBM (Jika Ada)
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VALIDASI DATA
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Cek Kembali semua Data yang anda isi, Jika sudah benar silakan klik kotak Centang VALID kemudian klik KIRIM
VALID
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