Registrasi KEDAN

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Registrasi KEDAN

Form Registrasi Kedai Medan

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Email *

Record my email address with my response

Nama Usaha *

Your answer

Bidang Usaha *

Pakaian

Makanan-Minuman

Aksesoris

Other:

Mulai Usaha *

MM

/

DD

/

YYYY

Alamat Usaha *

Tulis alamat tinggal jika online (daring)

Your answer

Nama Pemilik *

Your answer

Nomor Kontak Aktif *

Your answer

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