Form Survey New Store

Isi formulir berikut untuk pengajuan survey rute baru

Identitas Store
Bebas isi (huruf, angka, atau kombinasi). Maksimal 10 karakter.
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