Moveable all risk Form

Please fill in the information below:

Order Platform

Order Platform

Order Information

Transaction ID
Phone number

Warranty

Transaction ID Invoice Warranty
Choose Warranty

General Information

Full Name
Email Address
Birth date
Gender
Address
City
Post Code

ID Information

KTP number

Contoh foto KTP

KTP Photo Example Upload foto KTP
Format foto harus .jpg, .jpeg, atau .png. Ukuran maks. 2 MB.