Form Survey New Store

Isi formulir berikut untuk pengajuan survey rute baru

Identitas Store

Minimal 10 digit angka

Data Survey

Dokumentasi Foto

Upload Foto Loading Dock
Format: JPG/PNG (Maks: 5MB)
Drag & drop file di sini
File loading dock wajib diupload
Upload Foto Store
Format: JPG/PNG (Maks: 5MB)
Drag & drop file di sini
Foto store wajib diupload
Upload Foto Akses Jalan
Format: JPG/PNG (Maks: 5MB)
Drag & drop file di sini
Foto akses jalan wajib diupload
Upload Foto Parkir
Format: JPG/PNG (Maks: 5MB)
Drag & drop file di sini
Foto parkir wajib diupload