Registration
{{-- @if (session('success'))
{{ session('success') }}
@endif --}}
@csrf
Your Account
Fullname
What's your fullname?
Email
What's your Email?
Phone Number
What's your phone number?
Password
Your password must be 8-20 characters long, contain letters and numbers, and must not contain spaces, special characters, or emoji.
Password Confirmation
Next
Your Detail Information
Nik
Date of Birth
Gender
Laki - laki
Perempuan
Blood Type
A+
A-
B+
B-
AB+
AB+
AB-
O+
O-
Upload Picture
Upload Your ID Card Here
@error('photo')
{{ $message }}
@enderror
Back
Next
Your Home
Province
City / Regency
District / Subdistrict
Village / Subdistrict
Detail Address
Postal Code
Back
Register
{{--
Submit
--}}
{{--
Submit3
--}}
I agree with the terms and conditions
Register
Already have an account?
Log in
{{--
Or
Sign Up with
Google
--}}
Or
Sign Up with
Google
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