Formulir Pendaftaran Nama Lengkap *Alamat Lengkap *Desa / KelurahanKota / KabupatenProvinsiTempat, Tanggal Lahir *WA *Email *Pengalaman organisasiAlasan mendukung Partai Negoro *Upload KTP *Choose FileNo file chosenDelete uploaded fileUpload Pas Photo *Choose FileNo file chosenDelete uploaded fileKirim Pendaftaran