Register Username E-mail Address Password Confirm PasswordFirst Name Last Name Desired LicenseSIM A-Auto License $182SIM C-Scooter/Motorcycle $177SIM A & B $300Desired Appointment Date Agreed Appointment Date Blood TypeABABOFather's Name Mother's name Height in CM Province City/Kota Regency/Kabupaten (Kab) District/Kecamatan (Kec.) Urban Village or rural /Kel or Desa Street address or name of Hotel Google Map plus code Payment Application StatusPendingReady for submissionSubmittedLicense Issued Only fill in if you are not human Login Payment
