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PAYMENT CONFIRMATION
Please fulfill following form to confirm your registration payment.
Full Name
*
Registered Email
*
Mobile Phone Number
Paid Date
*
Bank Name (From)
Paid Amount
*
In Indonesia Rupiah (IDR)
File
*
Accepted file types: jpg, png, pdf.
Payment Slip. Allowed Extension: jpg, png, pdf. Max File Size: 2Mb
Notes (Optional)
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