Data Member Resmi Anggota Hyundai Accent Series Club Indonesia ( ACCENT-ER )
Email address *
Nama Lengkap *
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Alamat *
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No Telp Rumah atau Hand Phone (Whatsapp) *
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Tempat dan Tanggal Lahir *
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No. Surat Ijin Mengemudi *
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Tipe Hyundai *
Your answer
Tahun Produksi *
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Nomor Polisi *
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Nomor Rangka Kendaraan / VIN ( tertera di STNK ) *
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Warna Mobil *
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Nomor ID Anggota
( Bagi member baru akan di isi oleh Admin )
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Regional - Chapter ( Contoh : Jabar - Cirebon ) *
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A copy of your responses will be emailed to the address you provided.
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