Home
About
News
Events
Officers
Presidents
Local Boards
Members
Registration
Renewal
Home
About
News
Events
Officers
Presidents
Local Boards
Members
Registration
Renewal
Members
Registration
Renewal
close
Memberships
Renew your Membership at JCI Nusantara
Please fill in the form below to get the 2025 membership payment link.
Renewal Form
1
Account Details
2
Personal Info
3
Professional Info
4
Additional Info
Category
Membership 2026 -
Rp 2.500.000
Membership 2026 (Sudah Bayar) -
Rp 0
Fullname
*
Email
*
No. Whatsapp
*
(+62)
(+1)
(+44)
(+61)
(+91)
(+81)
(+49)
(+33)
(+86)
(+39)
(+7)
(+34)
(+55)
(+82)
(+52)
(+31)
(+47)
(+46)
(+90)
(+41)
(+30)
(+48)
(+351)
(+380)
(+63)
(+64)
(+54)
(+353)
(+32)
(+420)
(+45)
(+372)
(+679)
(+358)
(+350)
(+36)
(+354)
(+962)
(+254)
(+965)
(+961)
(+60)
(+960)
(+977)
(+92)
(+51)
(+65)
(+94)
(+66)
(+971)
(+263)
Date Of Birth
*
Ukuran Seragam
XS Pria
XS Wanita
S Pria
S Wanita
M Pria
M Wanita
L Pria
L Wanita
XL Pria
XL Wanita
2XL Pria
2XL Wanita
3XL Pria
3XL Wanita
Lihat Panduan
Ukuran
Address
*
Couple Data
Fullname
Email
Password
*
(min 6 characters)
Confirm Password
*
No. Whatsapp
*
(+62)
(+1)
(+44)
(+61)
(+91)
(+81)
(+49)
(+33)
(+86)
(+39)
(+7)
(+34)
(+55)
(+82)
(+52)
(+31)
(+47)
(+46)
(+90)
(+41)
(+30)
(+48)
(+351)
(+380)
(+63)
(+64)
(+54)
(+353)
(+32)
(+420)
(+45)
(+372)
(+679)
(+358)
(+350)
(+36)
(+354)
(+962)
(+254)
(+965)
(+961)
(+60)
(+960)
(+977)
(+92)
(+51)
(+65)
(+94)
(+66)
(+971)
(+263)
Date Of Birth
*
Ukuran Seragam
XS Pria
XS Wanita
S Pria
S Wanita
M Pria
M Wanita
L Pria
L Wanita
XL Pria
XL Wanita
2XL Pria
2XL Wanita
3XL Pria
3XL Wanita
Lihat Panduan
Ukuran
Address
Welcome gift delivery address
Upload KTP
*
Gender
*
Pria
Wanita
Religion
*
Muslim
Catholic
Christian
Hindu
Buddhist
Atheis
Agnostic
Marital Status
*
Single
Married
Education Level
*
Diploma
Bachelor Degree
Master Degree
PhD
Street Address
*
City
*
Region / State / Province
*
Postal / Zip Code
*
Dietary Restriction
*
Couple Data
Gender
*
Male
Female
Marital Status
*
Single
Married
Education Level
*
Diploma
Bachelor Degree
Master Degree
PHD
Street Address
*
City
*
Region / State / Province
*
Postal / Zip Code
*
Country
*
Who are you?
*
College Student
Professional
Self-Employed
Business Owner
Investor
Company / University Name
*
Job Title
*
Industry
*
Business Website
*
Instagram Username
*
Know JCI From
*
Sosial Media
Website
Referall JCI Nusantara
Referall Other JCI Chapter
Referred By:
*
Couple Data
Who are you?
*
Collage Student
Professional
Self-Employed
Bisness Owner
Investor
Company / University
Name
*
Job Title
*
Industry
*
Business Website
*
Instagram Username
*
Referred By:
*
What are you looking for?
*
Domestic Networking
International Networking
Individual Self Development
Sosial Contribution
Business Opportunity
Seminar
What areas of opportunities are you interested in?
*
Individual Development
Self-Development Learning
Self Awareness and Leadership
Communication and Public Speaking
Time Productivity
Business
Business and Economy Insight (Studying Trends and Market)
Business Operation and Management (Running and Selling Business Effectively)
Branding, Marketing, and Sales (Visibility, Growth, and Customer Strategy)
Business Networking and Collaboration
Community Action
Humanitarian Impact (Charity, Volunteering, and Community Support)
Education and Youth Empowerment (Learning, Leadership, and Skill Development)
Environmental and Sustainability (Climate Action & Green Initiatives)
Social Inclusion & Diversity (Equality, Accessibility, and Representation)
Relations
International Networking
International Collaboration
What type of events topics would you like JCI Nusantara to hold?
Are there any speakers or experts you’d like to invite?
Time Event Preferences?
*
Weekdays Afternoon
Weekdays Evening
Weekend Afternoon
Weekend Evening
In What ways are you most interested in Contributing to JCI Nusantara?
*
Taking Leadership Role (Project Director, Committee Member)
Participating in Events and Training
Sharing Skills, Network, or Resources
Supporting Event Operations When Available
Notes
Couple Data
Who are you?
*
Collage Student
Professional
Self-Employed
Bisness Owner
Investor
Company / University
Name
*
Job Title
*
Industry
*
Business Website
*
Instagram Username
*
Referred By:
*
What are you looking for?
*
Domestic Networking
International Networking
Business Webinar / Senimar
Individual Webinar / Senimar
Sosial Contribution
Contribution as Committee in JCI Nusantara Programs
Sosial Contribution
How are you willing to participate / contribute to JCI Nusantara's events?
*
As Donor
As Volunteer
What areas of opportunities are you interested in?
*
Individual Development
(self development & fun activity)
Business and Entrepreneurship
(stakeholder and business opportunity)
Community Action
(community development or CSR)
International Collaboration
(networking with JCI worldwide members)
I Agree with JCI Nusantara Terms & Condition
(i)
Back
Next
Submit
Size Chart
Close