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RESPON CEPAT PEMELIHARAAN JALAN DAN JEMBATAN ( RESEP PEJANTAN )
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NAMA ANDA .
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NO. KONTAK / HP
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NAMA JALAN
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STATUS JALAN
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LOKASI DI KABUPATEN / KOTA
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JENIS KERUSAKAN .
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KETERANGAN / DESCRIPSI KERUSAKAN / LAPORAN ( dapat di isi keterangan dalam bentuk kalimat panjang berbentuk paragraf ) .
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UPLOAD PHOTO 1 ( wajib , harus di upload )
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PHOTO KE 2 .
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PHOTO KE 3 . ( HASIL SCREEN SHOOT PETA GOOGLE MAPS )