E-FORM E-FORMINPUT DATAFORM PERMOHONANForm untuk Pomparan Raja Simataniari Boru Bere 1Form untuk Pomparan Raja Simataniari Boru Bere 2Form Pesanan Kartu RFID E Money Custom Username Nama depan Nama Tengah Nama belakang (Marga) Kode Negara62 - Indonesia65 - Singapore1 - USA====93 --- Afghanistan355 --- Albania213 --- Algeria684 --- American Samoa376 --- Andorra244 --- Angola809 --- Anguilla268 --- Antigua54 --- Argentina374 --- Armenia297 --- Aruba247 --- Ascension Island61 --- Australia672 --- Australian External Territories43 --- Austria994 --- Azerbaijan242 --- Bahamas246 --- Barbados973 --- Bahrain880 --- Bangladesh375 --- Belarus32 --- Belgium501 --- Belize229 --- Benin809 --- Bermuda975 --- Bhutan284 --- British Virgin Islands591 --- Bolivia387 --- Bosnia and Hercegovina267 --- Botswana55 --- Brazil284 --- British V.I.673 --- Brunei Darussalm359 --- Bulgaria226 --- Burkina Faso257 --- Burundi855 --- Cambodia237 --- Cameroon1 --- Canada238 --- CapeVerde Islands1 --- Caribbean Nations345 --- Cayman Islands238 --- Cape Verdi236 --- Central African Republic235 --- Chad56 --- Chile86 --- China (People's Republic)886 --- China-Taiwan57 --- Colombia269 --- Comoros and Mayotte242 --- Congo682 --- Cook Islands506 --- Costa Rica385 --- Croatia53 --- Cuba357 --- Cyprus420 --- Czech Republic45 --- Denmark246 --- Diego Garcia767 --- Dominca809 --- Dominican Republic253 --- Djibouti593 --- Ecuador20 --- Egypt503 --- El Salvador240 --- Equatorial Guinea291 --- Eritrea372 --- Estonia251 --- Ethiopia500 --- Falkland Islands298 --- Faroe (Faeroe) Islands (Denmark)679 --- Fiji358 --- Finland33 --- France596 --- French Antilles594 --- French Guiana241 --- Gabon (Gabonese Republic)220 --- Gambia995 --- Georgia49 --- Germany233 --- Ghana350 --- Gibraltar30 --- Greece299 --- Greenland473 --- Grenada/Carricou671 --- Guam502 --- Guatemala224 --- Guinea245 --- Guinea-Bissau592 --- Guyana509 --- Haiti504 --- Honduras852 --- Hong Kong36 --- Hungary354 --- Iceland91 --- India62 --- Indonesia98 --- Iran964 --- Iraq353 --- Ireland (Irish Republic; Eire)972 --- Israel39 --- Italy225 --- Ivory Coast (La Cote d'Ivoire)876 --- Jamaica81 --- Japan962 --- Jordan7 --- Kazakhstan254 --- Kenya855 --- Khmer Republic (Cambodia/Kampuchea)686 --- Kiribati Republic (Gilbert Islands)82 --- Korea, Republic of (South Korea)850 --- Korea, People's Republic of (North Korea)965 --- Kuwait996 --- Kyrgyz Republic371 --- Latvia856 --- Laos961 --- Lebanon266 --- Lesotho231 --- Liberia370 --- Lithuania218 --- Libya423 --- Liechtenstein352 --- Luxembourg853 --- Macao389 --- Macedonia261 --- Madagascar265 --- Malawi60 --- Malaysia960 --- Maldives223 --- Mali356 --- Malta692 --- Marshall Islands596 --- Martinique (French Antilles)222 --- Mauritania230 --- Mauritius269 --- Mayolte52 --- Mexico691 --- Micronesia (F.S. of Polynesia)373 --- Moldova33 --- Monaco976 --- Mongolia473 --- Montserrat212 --- Morocco258 --- Mozambique95 --- Myanmar (former Burma)264 --- Namibia (former South-West Africa)674 --- Nauru977 --- Nepal31 --- Netherlands599 --- Netherlands Antilles869 --- Nevis687 --- New Caledonia64 --- New Zealand505 --- Nicaragua227 --- Niger234 --- Nigeria683 --- Niue850 --- North Korea1 670 --- North Mariana Islands (Saipan)47 --- Norway968 --- Oman92 --- Pakistan680 --- Palau507 --- Panama675 --- Papua New Guinea595 --- Paraguay51 --- Peru63 --- Philippines48 --- Poland351 --- Portugal (includes Azores)1 787 --- Puerto Rico974 --- Qatar262 --- Reunion (France)40 --- Romania7 --- Russia250 --- Rwanda (Rwandese Republic)670 --- Saipan378 --- San Marino239 --- Sao Tome and Principe966 --- Saudi Arabia221 --- Senegal381 --- Serbia and Montenegro248 --- Seychelles232 --- Sierra Leone65 --- Singapore421 --- Slovakia386 --- Slovenia677 --- Solomon Islands252 --- Somalia27 --- South Africa34 --- Spain94 --- Sri Lanka290 --- St. Helena869 --- St. Kitts/Nevis508 --- St. Pierre &(et) Miquelon (France)249 --- Sudan597 --- Suriname268 --- Swaziland46 --- Sweden41 --- Switzerland963 --- Syrian Arab Republic (Syria)689 --- Tahiti (French Polynesia)886 --- Taiwan7 --- Tajikistan255 --- Tanzania (includes Zanzibar)66 --- Thailand228 --- Togo (Togolese Republic)690 --- Tokelau676 --- Tonga1 868 --- Trinidad and Tobago216 --- Tunisia90 --- Turkey993 --- Turkmenistan688 --- Tuvalu (Ellice Islands)256 --- Uganda380 --- Ukraine971 --- United Arab Emirates44 --- United Kingdom598 --- Uruguay1 --- USA7 --- Uzbekistan678 --- Vanuatu (New Hebrides)39 --- Vatican City58 --- Venezuela84 --- Viet Nam1 340 --- Virgin Islands681 --- Wallis and Futuna685 --- Western Samoa381 --- Yemen (People's Democratic Republic of)967 --- Yemen Arab Republic (North Yemen)381 --- Yugoslavia (discontinued)243 --- Zaire260 --- Zambia263 --- ZimbabweNomor telepon Email Password Confirm Password Only fill in if you are not human Login