Nusantara Clan Application Form

We are from Clan Nusantara proudly ask you to join our clan. Kindly fill up this registration form to get approve from our administrators.
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Add one or more Nusantara Clan contact person:

- https://www.facebook.com/albert.yoel
- https://www.facebook.com/andrydan7?fref=ufi
- https://www.facebook.com/ignatius.prohonplayer?fref=pb_other
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PM and explain to one of them that you want to join clan and fill this form.
Join on facebook group: https://www.facebook.com/groups/1569490513308964/?fref=nf
Thank you.
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Facebook ID User *
Fill in you with your facebook id user that place at your profile facebook
Captain Name: *
Fill in with your captain name ex: devilzzzzs
Captain Link *
Fill in with your battlestations captain link ex: Fill in with your captain name ex: http://battlestations.ochospace.com/profile.php?id=devilzzzzs
Level *
Former Clan *
Fill in with your former clan name if you have or fill in with none if you don't have
Submit
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