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Photo Seller Form : Formulir Penjual Photo
Please fill in all fields marked with a *
	Name Lengkap | Full Name	*
	Tanggal Lahir (lengkap dengan tahun) | Birth Date (full with year)	*
	Email	*
	Nomer KTP/Passport | Identity Card Number	*
	Nick di FK | Nick Name in FK	*
	Alamat 1 | Address 1	*
	Alamat 2 | Address 2
	Kota | City	*
	Propinsi | Province	*
	Negara | Country	*
	Nama Bank (dengan nama cabangnya ex : BCA Cab. Bogor) | Bank Name (including branch name)	* preferably BCA or Bank Mandiri
	Nama di Account Bank | Name Appear in Bank Account	*
	Nomer Account | Account Number	*
	Nomer Telpon 1 | Phone Number 1	*
	Nomer Telpon 2 | Phone Number 2
	Setuju dengan Terms & Condition | Agree with our Terms & Condition	*