PanTradeGlobal.com

Client Registration Form

Complate all data below. Mark (*) meaning must be fill.

	1. User Authentication
Username *	minimal 5 character!
Password *	min 4 digit (character+number)!
Confirm Password *	confirm your password !
Email *	example: info@yahoo.com
Confirm Email *	Confirm your Email !
	2. Personal Information
Full Name *
Address *
City *
Province *
Portal Code
Phone	example: 02172555666
Fax	example: 02172555666
Handphone *	example: 081322555666
Date of Birth *
Gender *	M F
	3. Additional Fields (Others)
Bank Name *	example: BCA , MANDIRI , BNI
Account No. *
Account Name *
Upload ID card photo *
Upload photo of bankbook/bank card *
Information from
Type the Captcha *

Central Bank Rates

4.50%

0.50%

2.40%

4.25%

0.25%

3.85%

2.75%

0.25%