JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Daftar Layan Jemput Sampah Daur Ulang
Data Collection for Baciraro Client
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Jenis Sampah
*
Botol Plastik Air Mineral
Botol Plastik Lainnya
Gelas Plastik Air Mineral
Kardus
Kertas HVS
Buku Cetak
Buku Tulis Bekas
Plastik HD
Sampah Daur ulang lainnya
Required
Nama
*
Your answer
Instansi/ Perorangan
Peorangan
Instansi
Kategori
Rumah
Kantor
Komersial
Bank Sampah
Clear selection
Email
Your answer
Nomor Whatsapp
*
Nomor yang dapat kami hubungi via whatsapp untuk kontak lanjutan
Your answer
Alamat
Alamat, Kelurahan/ Desa, Kecamatan, Kota/ Kabupaten
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
