RegistrationUsername*Username*Email*Email*First NameFirst NameLast NameLast NameAddress 1*Address 1*Address 2Address 2Country*Country*-Select a location-IndonesiaCity/TownCity/TownState/CountyState/CountyPostcode/Zip*Postcode/Zip*Store Phone*Store Phone*KTP Penanggung Jawab*KTP Penanggung Jawab*Foto Close Up Penanggung Jawab*Foto Close Up Penanggung Jawab*Bank Pembayaran*Bank Pembayaran*Nama Cabang Bank*Nama Cabang Bank*Nomor Rekening*Nomor Rekening*Foto Buku Tabungan*Foto Buku Tabungan*Nomor Whatsapp*Nomor Whatsapp*Password*Password*Confirm Password*Confirm Password*