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Daftar Gapura Merah Putih

Formulir Pendaftaran Gapura Project Merah Putih

Isi data dengan lengkap dan kirimkan foto gapura yang berwarna minimal 5 sisi. Setiap Kepala Depot minimal mendaftarkan 10 Gapura. Apabila lebih dari 10 Gapura, maka daftarkan dahulu 10 gapura pertama, lalu daftarkan kembali 10 gapura kedua pada formulir yang baru.

*DEPOT AREA :
*Jumlah Gapura yg Didaftar :
*Alamat Lengkap Gapura 1 :
*Upload foto Gapura 1 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 2 :
Upload foto Gapura 2 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload)* :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 3 :
Upload foto Gapura 3 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload)* :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 4 :
Upload foto Gapura 4 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 5 :
Upload foto Gapura 5 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 6 :
Upload foto Gapura 6 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 7 :
Upload foto Gapura 7 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 8 :
Upload foto Gapura 8 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload)* :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 9 :
Upload foto Gapura 9 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
Alamat Lengkap Gapura 10 :
Upload foto Gapura 10 (Min.5 foto dr berbagai sisi, mohon foto di-compress.zip baru diupload) :

Upload new:
Click [Browse] to select a file from your computer to upload.
Valid file-types: [ gif png jpg jpeg jpe bmp tiff tif txt doc xls ppt docx xlsx pptx pdf rtf rdf csv wmv mpeg mpe mpg mp4 avi mov qt flv m4v wma wav mp3 mp2 mid midi ogg eps ai swf zip dmg hqx gz sit tar lzh html htm css js xml xhtml ico svg ]
Remove
*Max. filesize: 10MB
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