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Mohon mengisi data-data berikut untuk melakukan registrasi:
Tentukan Chapter Anda :
Chapter
--Chapter--
Cendrawasih - CJ : Jakarta Barat, Jakarta Utara, Jakarta Pusat
Krakatau - KJ : Jakarta Selatan, Jakarta Timur
Bandung - BB : Kota Bandung dan sekitarnya
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Data Anggota:
Tipe Keanggotaan
--Tipe Keanggotaan--
Individual
Family
Nama Pendaftar
Telepon Rumah
Telepon Genggam
Alamat Anggota:
Alamat
Kota
--Kota--
Amahai
Ambon
Badung
Balikpapan
Banda Aceh
Bandar Lampung
Bandjarmasin
Bandung
Banyuwangi
Baubau
Bekasi
Bengkulu
Biak
Binjai
Blitar
Bogor
Bontang
Bukittinggi
Cilacap
Cimahi
Cirebon
Denpasar
Depok
Ende
Gorontalo
Indramayu
Jakarta Barat
Jakarta Pusat
Jakarta Selatan
Jakarta Timur
Jakarta Utara
Jambi
Jayapura
Jember
Kediri
Kendari
Kotabumi
Kuala Lumpur
Kualakapuas
Kupang
Kuta
Lahat
Langsa
Lhokseumawe
Luwuk
Madiun
Magelang
Majene
Makale
Malang
Mamuju
Manado
Manokwari
Martapura
Mataram
Maumere
Medan
Merauke
Mojokerto
Nabire
Padang
Padangpanjang
Padangsidempuan
Pakalongan
Palangkaraya
Palembang
Palopo
Palu
Pangkalpinang
Parepare
Pasuruan
Pati
Pekanbaru
Pematangsiantar
Perabumulih
Pinrang
Pontianak
Poso
Praya
Probolinggo
Raba
Ruteng
Salatiga
Samarinda
Sampit
Sawahlunto
Semarang
Serang
Sibolga
Singaraja
Singkawang
Sofifi
Sorong
Sukabumi
Sumenep
Sungaipenuh
Surabaya
Surakarta
Tangerang
Tanjung Selor
Tanjungpandan
Tanjungpinang
Tarakan
Tarutung
Tasikmalaya
Tebingtinggi
Tegal
Telukbutun
Ternate
Tidore
Timika
Tuban
Ujungpandang
Waingapu
Watampone
Yogyakarta
Provinsi
--Provinsi--
Aceh
Bali
Banten
Bengkulu
Gorontalo
DKI Jakarta
Jambi
Jawa Barat
Jawa Tengah
Jawa Timur
Kalimantan Barat
Kalimantan Selatan
Kalimantan Tengah
Kalimantan Timur
Kalimantan Utara
Kepulauan Bangka Belitung
Kepulauan Riau
Lampung
Maluku
Maluku Utara
Nusa Tenggara Barat
Nusa Tenggara Timur
Papua
Papua Barat
Riau
Sulawesi Barat
Sulawesi Selatan
Sulawesi Tengah
Sulawesi Tenggara
Sulawesi Utara
Sumatera Barat
Sumatera Selatan
Sumatera Utara
Yogyakarta
Kuala Lumpur
Negara
--Negara--
Indonesia
Singapore
United States of America
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas (the)
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory (the)
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands (the)
Central African Republic (the)
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands (the)
Colombia
Comoros (the)
Congo (the Democratic Republic of the)
Congo (the)
Cook Islands (the)
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic (the)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (the) [Malvinas]
Faroe Islands (the)
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories (the)
Gabon
Gambia (the)
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (the)
Honduras
Hong Kong
Hungary
Iceland
India
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic (the)
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands (the)
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands (the)
New Caledonia
New Zealand
Nicaragua
Niger (the)
Nigeria
Niue
Norfolk Island
Northern Mariana Islands (the)
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines (the)
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of North Macedonia
Romania
Russian Federation (the)
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan (the)
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan (Province of China)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands (the)
Tuvalu
Uganda
Ukraine
United Arab Emirates (the)
United Kingdom of Great Britain and Northern Ireland (the)
United States Minor Outlying Islands (the)
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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