register.pergikeliga.com Open in urlscan Pro
103.11.40.159  Public Scan

Form analysis
1 forms found in the DOM

POST /GoToPlayerSite

<form id="goToPlayerSite" action="/GoToPlayerSite" method="POST" hidden="">
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8GbrZVGHNkZJox9DgXQsCn_2Sj_i8OLFTtpU4ThXoMgW673sbgCTP0SlB1W5cfaarSN5WBk5pMM7dkZqD8P_-CWqgCy_N9CHWbD065ybk43kVtn5-ut2T2-li9kHK-M8QhadoZ45gRfDXn_wUQMzyQg">
  <input type="hidden" id="redirectMode" name="redirectMode" value="PlayerSide">
</form>

Text Content

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REGISTRATION

Registration Reference ID : 97390-08524-25266
Account Information
Personal Information
Country of Residence Albania Alderney Algeria Andorra Angola Anguilla Antarctica
Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain
Bangladesh Barbados Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina
Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria
Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central
African Republic Chad Chile China Christmas Island Cocos Islands Colombia
Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Croatia Cuba
Curacao Cyprus Czech Republic Djibouti Dominica Dominican Republic Ecuador Egypt
El Salvador Equatorial Guinea Estonia Ethiopia Falkland Islands Faroe Islands
Fiji Finland Gabon Gambia Georgia Ghana Gibraltar Greenland Grenada Guatemala
Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands
Honduras Iceland India Indonesia Ireland Isle of Man Israel Italy Jamaica Japan
Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Laos Latvia Lesotho
Liechtenstein Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives
Mali Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco
Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal
New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Oman
Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru
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Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe
Saudi Arabia Senegal Seychelles Sierra Leone Slovakia Slovenia Solomon Islands
South Africa South Georgia and the South Sandwich Islands South Korea South
Sudan Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Syria
Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago
Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin
Islands, British Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Albania

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Password

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 * Use both uppercase or lowercase letters (a-z) and numbers (0-9)
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Country of Nationality Albania Alderney Algeria Andorra Angola Anguilla
Antarctica Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan
Bahamas Bahrain Bangladesh Barbados Belize Benin Bermuda Bhutan Bolivia Bosnia
and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory
Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman
Islands Central African Republic Chad Chile China Christmas Island Cocos Islands
Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica
Croatia Cuba Curacao Cyprus Czech Republic Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Falkland Islands
Faroe Islands Fiji Finland Gabon Gambia Georgia Ghana Gibraltar Greenland
Grenada Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and
McDonald Islands Honduras Iceland India Indonesia Ireland Isle of Man Israel
Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Laos
Latvia Lesotho Liechtenstein Luxembourg Macao Macedonia Madagascar Malawi
Malaysia Maldives Mali Marshall Islands Mauritania Mauritius Mexico Micronesia
Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia
Nauru Nepal New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk
Island Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea
Paraguay Peru Pitcairn Poland Qatar Romania Rwanda Saint Helena Saint Kitts and
Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and
Principe Saudi Arabia Senegal Seychelles Sierra Leone Slovakia Slovenia Solomon
Islands South Africa South Georgia and the South Sandwich Islands South Korea
South Sudan Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Syria
Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago
Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin
Islands, British Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Albania
Mobile
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   number will be used to verify your identity, for payment registration and
   contact purposes.


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Mobile
Email
Security Question What is the date of your father's birthday? What is the date
of your mother's birthday? What is the date of your partner's birthday? What is
the date of your wedding anniversary? What is the title of your favourite movie?
What is your favourite food? What is your favourite sports team? What is your
pet's name? What is the date of your father's birthday?
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Cara pengisian nama yang baik dan benar
When my name consists of only 1 word
Kita ambil contoh nama yaitu "ALEXANDER". Penulisan pada kolom namanya adalah,
Nama Depan: ALEXANDER.
First Name
Last Name I do not have a last name listed in my bank account.
When my name consists of 2 words
Kita ambil contoh nama yaitu "ALEXANDER AGUNG". Penulisan pada kolom namanya
adalah, Nama Depan: ALEXANDER dan Nama Belakang: AGUNG.
First Name
Last Name
When my name consists of 3 words
Kita ambil contoh nama yaitu "ALEXANDER AGUNG NUGROHO". Penulisan pada kolom
namanya adalah, Nama Depan: ALEXANDER AGUNG dan Nama Belakang: NUGROHO.
First Name
Last Name
Variasi lain untuk contoh nama ini bisa juga seperti Nama Depan: ALEXANDER dan
Nama Belakang: AGUNG NUGROHO.
When my name consists of 4 words
Kita ambil contoh nama yaitu "ALEXANDER AGUNG NUGROHO PRIBADI". Penulisan pada
kolom namanya adalah, Nama Depan: ALEXANDER AGUNG dan Nama Belakang: NUGROHO
PRIBADI.
First Name
Last Name
Variasi lain untuk contoh nama ini bisa juga seperti Nama Depan: ALEXANDER dan
Nama Belakang: AGUNG NUGROHO PRIBADI atau Nama Depan: ALEXANDER AGUNG dan Nama
Belakang: NUGROHO PRIBADI atau Nama Depan: ALEXANDER AGUNG NUGROHO dan Nama
Belakang: PRIBADI.
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