Create Account - Government Institution
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Confirmation Question
Please fill your username
Please fill your username
Please fill your password
Please fill your email
Institution Information
Corporate Type is required
Corporate Name is required (alphanumeric only)
Unit is required
Corporate Sector is required
Phone Number is required (6-20 digit length)
NPWP is required (15-16 digit length)
Address Information
Please fill your address (alphanumeric only)
Please fill your house number
/
Please fill your RT (max 3 digit)
/
Please fill your RW (max 3 digit)
Postal Code is not valid
Person in Charge
Please fill your fullname (alphanumeric)
Please choose your gender
Please fill your place of birth
Please choose your date of birth
Please fill your position title
Please fill your nationality
  Upload
Please select your profile picture
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