JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Klaim Komisi Referral Program
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nama Anda
*
Your answer
Email Anda
*
Your answer
No Whatsapp Anda
*
Your answer
Nama teman Anda
*
Your answer
No Whatsapp teman Anda
*
Your answer
Email teman Anda
*
Your answer
Program Kursus yang teman Anda daftar
*
Your answer
Nominal komisi yang Anda klaim
*
Your answer
Komisi akan dibayarkan maksimal H+3 tanggal klaim melalui online transfer. Pilih Bank / Metode pembayaran
*
BCA
Mandiri
BNI
BTPN
CIMB NIAGA
BRI
Gopay
OVO
ShopeePay
Other:
Bank Cabang
Your answer
Nama Lengkap Pemilik Akun
*
Your answer
Nomor Rekening atau nomor Virtual Account (jika Anda memilih Metode Pembayaran dengan Shopeepay/Gopay/OVO)
*
Your answer
Saya menyetujui syarat dan ketentuan klaim komisi
*
Ya
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Lister.
Report Abuse
Forms
