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Open Market Survey Pinjaman Modal usaha
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* Indicates required question
Masukan Kode Agen
*
Your answer
Tanggal Kunjungan
*
Date
Nama Cluster Leader
*
Ayu Iga Ovita Putri
Dwi Ardianto
Hendri Suyoko, SE
Kamdani
Linda Puspita Sari
Lucky Maulana
Makmun
M. Ubaitur Rohim
Ricky Alamsyah Daulay
Rusi Yanti
Saiful Arifin
Tanto Kristianto
Ilham Adiktio
Havid Ardi
Yonathan Decanda
Nama Toko / Warung
*
Your answer
Nama Pemilik Toko / Warung yang ditemui
*
Your answer
No. Telepon Pemilik Toko / Warung yang ditemui
*
Dimulai dari angka 8 ya
Your answer
Masukan Latitude dan longitude dari maps
*
Mulai dari tanda - (minus)
Your answer
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