{"id":2359,"date":"2026-08-08T07:42:38","date_gmt":"2026-08-08T00:42:38","guid":{"rendered":"https:\/\/citytrail.id\/registrasi-test-event-2\/"},"modified":"2026-08-08T07:42:38","modified_gmt":"2026-08-08T00:42:38","slug":"registrasi-test-event-2","status":"publish","type":"page","link":"https:\/\/citytrail.id\/en\/registrasi-test-event-2\/","title":{"rendered":"Registrasi &#8211; TEST EVENT 2"},"content":{"rendered":"<div class=\"erm-registration-form-shell\" style=\"--erm-font-family:inherit;--erm-font-size:16px;--erm-line-height:1.5;--erm-text:#111827;--erm-muted:#6b7280;--erm-link:#1d4ed8;--erm-container-width:1200px;--erm-portal-margin-y:24px;--erm-heading-font-family:inherit;--erm-heading-size:28px;--erm-heading-weight:700;--erm-heading-line-height:1.2;--erm-heading-color:#111827;--erm-subheading-size:20px;--erm-subheading-weight:700;--erm-card-bg:#ffffff;--erm-bg:#f9fafb;--erm-border:#d1d5db;--erm-card-radius:10px;--erm-card-padding:22px;--erm-component-gap:20px;--erm-card-shadow:0 1px 2px rgba(0,0,0,.04);--erm-stat-value-size:28px;--erm-button-font-size:16px;--erm-button-weight:600;--erm-button-radius:7px;--erm-button-padding-y:10px;--erm-button-padding-x:16px;--erm-button-primary-bg:#111827;--erm-button-primary-text:#ffffff;--erm-button-secondary-bg:#4b5563;--erm-danger:#b91c1c;--erm-button-text-transform:none;--erm-input-font-size:16px;--erm-input-height:44px;--erm-input-radius:7px;--erm-input-border:#d1d5db;--erm-input-bg:#ffffff;--erm-input-text:#111827;--erm-input-focus:#2563eb;--erm-label-weight:600;\"><div class='fluentform ff-default fluentform_wrapper_7 ffs_default_wrap'><form data-form_id=\"7\" id=\"fluentform_7\" class=\"frm-fluent-form fluent_form_7 ff-el-form-top ff_form_instance_7_1 ff-form-loading fluentform_has_payment ffs_default\" data-form_instance=\"ff_form_instance_7_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">BCT26 - 21K<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='2359' \/><input type=\"hidden\" id=\"_fluentform_7_fluentformnonce\" name=\"_fluentform_7_fluentformnonce\" value=\"03d16ad823\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2359\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_names_first_name_' id='label_ff_7_names_first_name_' >Nama Lengkap<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_7_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_names_last_name_' id='label_ff_7_names_last_name_' >Nama Panggilan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_7_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_email' id='label_ff_7_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_7_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_phone' id='label_ff_7_phone' aria-label=\"Telepon\">Telepon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Terinstall WA Aktif\" data-name=\"phone\" id=\"ff_7_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_nik_ktp' id='label_ff_7_nik_ktp' aria-label=\"NIK KTP\">NIK KTP <\/label><div class=\"ff-el-tooltip\" data-content=\"Untuk KITAS, silahkan masukan angka 1 beberapa kali (sebagai prefix), lalu ikuti dengan nomor KITAS anda. Sehingga total menjadi 16 digit.\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"nik_ktp\" id=\"ff_7_nik_ktp\" class=\"ff-el-form-control\" placeholder=\"Isikan dengan nomor KTP \/ KITAS\" data-name=\"nik_ktp\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_datetime' id='label_ff_7_datetime' aria-label=\"Tanggal Lahir\">Tanggal Lahir<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Tanggal Lahir Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_7_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Jenis Kelamin\">Jenis Kelamin<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='Jenis_Kelamin_2463cbaba3adb149c0592b59ba03640d'><input  type=\"radio\" name=\"Jenis_Kelamin\" data-name=\"Jenis_Kelamin\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Laki-laki\"  id='Jenis_Kelamin_2463cbaba3adb149c0592b59ba03640d' aria-label='Laki-laki' aria-invalid='false' aria-required=true> <span>Laki-laki<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='Jenis_Kelamin_28d35ad658b9a66a4fadd271ce3865ec'><input  type=\"radio\" name=\"Jenis_Kelamin\" data-name=\"Jenis_Kelamin\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Perempuan\"  id='Jenis_Kelamin_28d35ad658b9a66a4fadd271ce3865ec' aria-label='Perempuan' aria-invalid='false' aria-required=true> <span>Perempuan<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Kategori Usia\">Kategori Usia<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='kategori_usia_e7be6f631f56d3691d76ffa9691bcbac'><input  type=\"radio\" name=\"kategori_usia\" data-name=\"kategori_usia\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Open (18 - 39 tahun) \"  id='kategori_usia_e7be6f631f56d3691d76ffa9691bcbac' aria-label='Open (18 - 39 tahun)' aria-invalid='false' aria-required=true> <span>Open (18 - 39 tahun) <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='kategori_usia_40ee4158219f23ea607b279e74d277a9'><input  type=\"radio\" name=\"kategori_usia\" data-name=\"kategori_usia\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Master (40 tahun keatas)\"  id='kategori_usia_40ee4158219f23ea607b279e74d277a9' aria-label='Master (40 tahun keatas)' aria-invalid='false' aria-required=true> <span>Master (40 tahun keatas)<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Golongan Darah\">Golongan Darah<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='golongan_darah_98c54c963ddb100a81e76294ca9d0293'><input  type=\"radio\" name=\"golongan_darah\" data-name=\"golongan_darah\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"A\"  id='golongan_darah_98c54c963ddb100a81e76294ca9d0293' aria-label='A' aria-invalid='false' aria-required=true> <span>A<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='golongan_darah_18b3f3dc88cf23b9456567fbbd1314d1'><input  type=\"radio\" name=\"golongan_darah\" data-name=\"golongan_darah\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"B\"  id='golongan_darah_18b3f3dc88cf23b9456567fbbd1314d1' aria-label='B' aria-invalid='false' aria-required=true> <span>B<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='golongan_darah_9bad9b9c6872f46ac22bf0d62c33defe'><input  type=\"radio\" name=\"golongan_darah\" data-name=\"golongan_darah\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"AB\"  id='golongan_darah_9bad9b9c6872f46ac22bf0d62c33defe' aria-label='AB' aria-invalid='false' aria-required=true> <span>AB<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='golongan_darah_93512442736fd1e625e3c6c198852ce3'><input  type=\"radio\" name=\"golongan_darah\" data-name=\"golongan_darah\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"O\"  id='golongan_darah_93512442736fd1e625e3c6c198852ce3' aria-label='O' aria-invalid='false' aria-required=true> <span>O<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_country-list' id='label_ff_7_country-list' aria-label=\"Negara Asal\">Negara Asal<\/label><\/div><div class='ff-el-input--content'><select name=\"country-list\" id=\"ff_7_country-list\" class=\"ff-el-form-control\" placeholder=\"Select Country\" data-name=\"country-list\" aria-invalid='false' aria-required=true><option value=''>Select Country<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' selected>Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><div class=\"has-conditions  ff-field_container ff-chained-select-field-wrapper\" data-type=\"chained-select\" data-name=\"chained_select\" data-source-type=\"file\" ><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_chained_select_\ufeffPilih_Provinsi_' id='label_ff_7_chained_select_\ufeffPilih_Provinsi_' aria-label=\"\ufeffPilih Provinsi\">\ufeffPilih Provinsi<\/label><\/div><div class='ff-el-input--content'><select disabled name=\"chained_select[\ufeffPilih Provinsi]\" class=\"ff-el-form-control  el-chained-select\" data-name=\"chained_select\" data-source-type=\"file\" id=\"ff_7_chained_select_\ufeffPilih_Provinsi_\" data-index=\"0\" data-meta_key=\"chained_select_chained_select\" data-key=\"\ufeffPilih Provinsi\" ><option value=''>\ufeffPilih Provinsi<\/option><option value='Aceh (NAD)'>Aceh (NAD)<\/option><option value='Sumatera Utara'>Sumatera Utara<\/option><option value='Sumatera Barat'>Sumatera Barat<\/option><option value='Riau'>Riau<\/option><option value='Jambi'>Jambi<\/option><option value='Sumatera Selatan'>Sumatera Selatan<\/option><option value='Bengkulu'>Bengkulu<\/option><option value='Lampung'>Lampung<\/option><option value='Kepulauan Bangka Belitung'>Kepulauan Bangka Belitung<\/option><option value='Kepulauan Riau'>Kepulauan Riau<\/option><option value='DKI Jakarta'>DKI Jakarta<\/option><option value='Jawa Barat'>Jawa Barat<\/option><option value='Jawa Tengah'>Jawa Tengah<\/option><option value='DI Yogyakarta'>DI Yogyakarta<\/option><option value='Jawa Timur'>Jawa Timur<\/option><option value='Banten'>Banten<\/option><option value='Bali'>Bali<\/option><option value='Nusa Tenggara Barat (NTB)'>Nusa Tenggara Barat (NTB)<\/option><option value='Nusa Tenggara Timur (NTT)'>Nusa Tenggara Timur (NTT)<\/option><option value='Kalimantan Barat'>Kalimantan Barat<\/option><option value='Kalimantan Tengah'>Kalimantan Tengah<\/option><option value='Kalimantan Selatan'>Kalimantan Selatan<\/option><option value='Kalimantan Timur'>Kalimantan Timur<\/option><option value='Kalimantan Utara'>Kalimantan Utara<\/option><option value='Sulawesi Utara'>Sulawesi Utara<\/option><option value='Sulawesi Tengah'>Sulawesi Tengah<\/option><option value='Sulawesi Selatan'>Sulawesi Selatan<\/option><option value='Sulawesi Tenggara'>Sulawesi Tenggara<\/option><option value='Gorontalo'>Gorontalo<\/option><option value='Sulawesi Barat'>Sulawesi Barat<\/option><option value='Maluku'>Maluku<\/option><option value='Maluku Utara'>Maluku Utara<\/option><option value='Papua'>Papua<\/option><option value='Papua Barat'>Papua Barat<\/option><option value='Papua Selatan'>Papua Selatan<\/option><option value='Papua Tengah'>Papua Tengah<\/option><option value='Papua Pegunungan'>Papua Pegunungan<\/option><option value='Papua Barat Daya'>Papua Barat Daya<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_chained_select_Pilih_Kabupaten_\/_Kota_' id='label_ff_7_chained_select_Pilih_Kabupaten_\/_Kota_' aria-label=\"Pilih Kabupaten \/ Kota\">Pilih Kabupaten \/ Kota<\/label><\/div><div class='ff-el-input--content'><select disabled name=\"chained_select[Pilih Kabupaten \/ Kota]\" class=\"ff-el-form-control  el-chained-select\" data-name=\"chained_select\" data-source-type=\"file\" id=\"ff_7_chained_select_Pilih_Kabupaten_\/_Kota_\" data-index=\"1\" data-meta_key=\"chained_select_chained_select\" data-key=\"Pilih Kabupaten \/ Kota\" ><option value=''>Pilih Kabupaten \/ Kota<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_alamat_lengkap' id='label_ff_7_alamat_lengkap' aria-label=\"Alamat Lengkap (tinggal saat ini)\">Alamat Lengkap (tinggal saat ini)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"alamat_lengkap\" class=\"ff-el-form-control\" data-name=\"alamat_lengkap\" id=\"ff_7_alamat_lengkap\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_nama_kontak_darurat' id='label_ff_7_nama_kontak_darurat' aria-label=\"Nama Kontak Darurat\">Nama Kontak Darurat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"nama_kontak_darurat\" class=\"ff-el-form-control\" data-name=\"nama_kontak_darurat\" id=\"ff_7_nama_kontak_darurat\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_no_telp_darurat' id='label_ff_7_no_telp_darurat' aria-label=\"Telepon Kontak Darurat\">Telepon Kontak Darurat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"no_telp_darurat\" class=\"ff-el-form-control\" data-name=\"no_telp_darurat\" id=\"ff_7_no_telp_darurat\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Jenis Kepesertaan\">Jenis Kepesertaan<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='jenis_kepesertaan_33f97a9cf4299d54c343897d5922766e'><input  type=\"radio\" name=\"jenis_kepesertaan\" data-name=\"jenis_kepesertaan\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mandiri\"  id='jenis_kepesertaan_33f97a9cf4299d54c343897d5922766e' aria-label='Mandiri' aria-invalid='false' aria-required=true> <span>Mandiri<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='jenis_kepesertaan_e7c6d9ac113a58d319b6ddc00a6603a1'><input  type=\"radio\" name=\"jenis_kepesertaan\" data-name=\"jenis_kepesertaan\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Komunitas\"  id='jenis_kepesertaan_e7c6d9ac113a58d319b6ddc00a6603a1' aria-label='Komunitas' aria-invalid='false' aria-required=true> <span>Komunitas<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='jenis_kepesertaan_07098cf48e5df29f77a2ea771406b4d3'><input  type=\"radio\" name=\"jenis_kepesertaan\" data-name=\"jenis_kepesertaan\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Korporat\/Instansi\"  id='jenis_kepesertaan_07098cf48e5df29f77a2ea771406b4d3' aria-label='Korporat\/Instansi' aria-invalid='false' aria-required=true> <span>Korporat\/Instansi<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_nama_komunitas_corporate' id='label_ff_7_nama_komunitas_corporate' aria-label=\"Nama Komunitas \/ Korporat \/ Instansi\">Nama Komunitas \/ Korporat \/ Instansi<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"nama_komunitas_corporate\" class=\"ff-el-form-control\" data-name=\"nama_komunitas_corporate\" id=\"ff_7_nama_komunitas_corporate\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-hide_label has-conditions ff_force_hide'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Kategori 21K\">Kategori 21K<\/label><\/div><div class='ff-el-input--content'><input type=\"hidden\" id=\"ff_7_biaya_registrasi\" name=\"biaya_registrasi\" value=\"625000\" class=\"ff_payment_item\" data-payment_item=\"yes\" data-payment_value=\"625000\" data-payment_label=\"Kategori 21K\" ><span class=\"ff_item_price_wrapper\"><span class=\"ff_product_price_label\">21K:<\/span> <span class=\"ff_product_price\">Rp 625.000<\/span><\/span><\/div><\/div><div class='ff-el-group ff-el-form-hide_label has-conditions ff_force_hide'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Biaya Over Size 2XL\">Biaya Over Size 2XL<\/label><\/div><div class='ff-el-input--content'><input type=\"hidden\" id=\"ff_7_biaya_over_size_2XL\" name=\"biaya_over_size_2XL\" value=\"10000\" class=\"ff_payment_item\" data-payment_item=\"yes\" data-payment_value=\"10000\" data-payment_label=\"Biaya Over Size 2XL\" ><span class=\"ff_item_price_wrapper\"><span class=\"ff_product_price_label\">Biaya Over Size 2XL<\/span> <span class=\"ff_product_price\">Rp 10.000<\/span><\/span><\/div><\/div><div class='ff-el-group ff-el-form-hide_label has-conditions ff_force_hide'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Biaya Over Size 3XL\">Biaya Over Size 3XL<\/label><\/div><div class='ff-el-input--content'><input type=\"hidden\" id=\"ff_7_biaya_over_size_3xl\" name=\"biaya_over_size_3xl\" value=\"10000\" class=\"ff_payment_item\" data-payment_item=\"yes\" data-payment_value=\"10000\" data-payment_label=\"Biaya Over Size 3XL\" ><span class=\"ff_item_price_wrapper\"><span class=\"ff_product_price_label\">Biaya Over Size 3XL<\/span> <span class=\"ff_product_price\">Rp 10.000<\/span><\/span><\/div><\/div><div class='ff-el-group ff-el-form-hide_label has-conditions ff_force_hide'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Biaya Admin\">Biaya Admin<\/label><\/div><div class='ff-el-input--content'><input type=\"hidden\" id=\"ff_7_biaya_admin\" name=\"biaya_admin\" value=\"5000\" class=\"ff_payment_item\" data-payment_item=\"yes\" data-payment_value=\"5000\" data-payment_label=\"Biaya Admin\" ><span class=\"ff_item_price_wrapper\"><span class=\"ff_product_price_label\">Biaya Admin:<\/span> <span class=\"ff_product_price\">Rp 5.000<\/span><\/span><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Size Jersey\">Size Jersey<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_a4f1571d17737e1352cf64a5ba706624'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"XXS\"  id='size_jersey_a4f1571d17737e1352cf64a5ba706624' aria-label='XXS' aria-invalid='false' aria-required=true> <span>XXS<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_a8b43f6702419718a189def71e97a885'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"XS\"  id='size_jersey_a8b43f6702419718a189def71e97a885' aria-label='XS' aria-invalid='false' aria-required=true> <span>XS<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_251adaed8b4f3db6f2fec3847864da20'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"S\"  id='size_jersey_251adaed8b4f3db6f2fec3847864da20' aria-label='S' aria-invalid='false' aria-required=true> <span>S<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_05461cb990bd44311318fad5ae713c98'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"M\"  id='size_jersey_05461cb990bd44311318fad5ae713c98' aria-label='M' aria-invalid='false' aria-required=true> <span>M<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_18b079d10cc6227a79a2402f5d92b0f0'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"L\"  id='size_jersey_18b079d10cc6227a79a2402f5d92b0f0' aria-label='L' aria-invalid='false' aria-required=true> <span>L<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_8d23ea249d26eb3220ac3936e48533fd'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"XL\"  id='size_jersey_8d23ea249d26eb3220ac3936e48533fd' aria-label='XL' aria-invalid='false' aria-required=true> <span>XL<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_df2252d09c6ec39dccd1a63e6e86ccaa'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2XL\"  id='size_jersey_df2252d09c6ec39dccd1a63e6e86ccaa' aria-label='2XL' aria-invalid='false' aria-required=true> <span>2XL<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='size_jersey_480f86abea5fae5d6b185638be341bcf'><input  type=\"radio\" name=\"size_jersey\" data-name=\"size_jersey\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3XL\"  id='size_jersey_480f86abea5fae5d6b185638be341bcf' aria-label='3XL' aria-invalid='false' aria-required=true> <span>3XL<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Minat menginap di hotel atau penginapan sekitar venue event?\">Minat menginap di hotel atau penginapan sekitar venue event?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='minat_menginap_e76e6a968506bbd3882552d80f802514'><input  type=\"radio\" name=\"minat_menginap\" data-name=\"minat_menginap\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ya\"  id='minat_menginap_e76e6a968506bbd3882552d80f802514' aria-label='Ya' aria-invalid='false' aria-required=true> <span>Ya<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='minat_menginap_15732a68599e2a6d14a0b22d346cd6e9'><input  type=\"radio\" name=\"minat_menginap\" data-name=\"minat_menginap\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Tidak\"  id='minat_menginap_15732a68599e2a6d14a0b22d346cd6e9' aria-label='Tidak' aria-invalid='false' aria-required=true> <span>Tidak<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Bersedia menerima informasi (via email) event lari atau event lainnya?\">Bersedia menerima informasi (via email) event lari atau event lainnya?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='bersedia_dikirim_email_8fe124cf59cf1bc98c4a9a5f1ba956f0'><input  type=\"radio\" name=\"bersedia_dikirim_email\" data-name=\"bersedia_dikirim_email\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ya\"  id='bersedia_dikirim_email_8fe124cf59cf1bc98c4a9a5f1ba956f0' aria-label='Ya' aria-invalid='false' aria-required=true> <span>Ya<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='bersedia_dikirim_email_49bbb962ea9c7c34bb4cf5414aeffb23'><input  type=\"radio\" name=\"bersedia_dikirim_email\" data-name=\"bersedia_dikirim_email\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Tidak\"  id='bersedia_dikirim_email_49bbb962ea9c7c34bb4cf5414aeffb23' aria-label='Tidak' aria-invalid='false' aria-required=true> <span>Tidak<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya tidak memiliki kendala kesehatan atau penyakit apapun yang menjadi larangan bagi saya untuk mengikuti event ini.' class='ff-el-form-check-label ff_tc_label' for=kendala_penyakit_89b085a16be775908d3a9646cbd3dd10><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"kendala_penyakit\" class=\"ff-el-form-check-input\" data-name=\"kendala_penyakit\" id=\"kendala_penyakit_89b085a16be775908d3a9646cbd3dd10\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya tidak memiliki kendala kesehatan atau penyakit apapun yang menjadi larangan bagi saya untuk mengikuti event ini.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Segala bentuk resiko apapun yang saya alami saat mengikuti event ini adalah tanggung jawab pribadi oleh karena itu penyelenggara tidak akan dituntut apapun.' class='ff-el-form-check-label ff_tc_label' for=resiko_event_62452da51e01ad1f45e9bc2e22b6ce8e><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"resiko_event\" class=\"ff-el-form-check-input\" data-name=\"resiko_event\" id=\"resiko_event_62452da51e01ad1f45e9bc2e22b6ce8e\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Segala bentuk resiko apapun yang saya alami saat mengikuti event ini adalah tanggung jawab pribadi oleh karena itu penyelenggara tidak akan dituntut apapun.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Segala bentuk dokumentasi yang menjadikan event ini sebagai objek foto ataupun video adalah milik Official dan Official tidak akan menanggung kompensasi apapun atas pengaksesan dan menggunaan dokumentasi tersebut.' class='ff-el-form-check-label ff_tc_label' for=dokuementasi_38fd47104e8fd2e0cdfe9e6561bdf28c><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"dokuementasi\" class=\"ff-el-form-check-input\" data-name=\"dokuementasi\" id=\"dokuementasi_38fd47104e8fd2e0cdfe9e6561bdf28c\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Segala bentuk dokumentasi yang menjadikan event ini sebagai objek foto ataupun video adalah milik Official dan Official tidak akan menanggung kompensasi apapun atas pengaksesan dan menggunaan dokumentasi tersebut.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersedia dihubungi pihak asuransi apabila diperlukan. (berkaitan dengan event BCT2026)' class='ff-el-form-check-label ff_tc_label' for=bersedia_dikontak_asuransi_722c210138ff53970435b65773324420><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"bersedia_dikontak_asuransi\" class=\"ff-el-form-check-input\" data-name=\"bersedia_dikontak_asuransi\" id=\"bersedia_dikontak_asuransi_722c210138ff53970435b65773324420\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersedia dihubungi pihak asuransi apabila diperlukan. (berkaitan dengan event BCT2026)<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Data yang sudah saya input pada kolom diatas adalah benar' class='ff-el-form-check-label ff_tc_label' for=validitas_data_1c2559ebfcee18c460dfe597a58eb7ee><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"validitas_data\" class=\"ff-el-form-check-input\" data-name=\"validitas_data\" id=\"validitas_data_1c2559ebfcee18c460dfe597a58eb7ee\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Data yang sudah saya input pada kolom diatas adalah benar<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group  ff_coupon_wrapper'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_payment-coupon' id='label_ff_7_payment-coupon' aria-label=\"Coupon\">Coupon<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_input-group\"><input type=\"text\" 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