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[Regist] Queenrides Community Member
Form pendaftaran untuk bergabung menjadi anggota komunitas Queenrides Indonesia
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1. Nama Lengkap :
*
Your answer
2. Nomor HP (Whatsapp) :
*
Your answer
3. Alamat Email :
*
Your answer
4. Domisili tempat tinggal (Kota - Provinsi) :
*
Your answer
5. Profesi :
*
Mahasiswa/i
Ibu Rumah Tangga
ASN
Karyawan Swasta
Wirausaha
Freelancer
Other:
6. Penghasilan Pribadi (/bulan) :
*
Rp 0 / Tidak Punya Penghasilan
≤ Rp 1.000.000
Rp 1.001.000 - Rp 5.000.000
Rp 5.001.000 - Rp 10.000.000
Rp 10.001.000 - Rp 20.000.000
≥ Rp 20.000.000
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