New User

User ID	:
		(2 sampai 8 huruf)
Password	:
		21 Char Max (Required)
Confirm Password	:


Full Name	:
Email	:
		Contoh: user@domain.com *( Alamat Email Harus valid
Phone	:
		contoh:+62815... *( No Hand Phone Harus valid
Bank Name	:
Bank Account Name	:
Bank Account Number	:


Kode Keamanan	: