nafas Indonesia - Sensor Form IA
Thank you for your interest in the nafas sensor network, and in helping us grow the number of sensors that are installed in the Jabodetabek area.

Please note there are some requirements for sensor installation to keep in mind before completing the form:
1. Needs access to power outlet
2. Needs to be located between 2 and 8 meters off the ground (apartments above 3rd floor cannot be used as an installation location)
3. The location will be outdoors

Please fill out the form below, and we will get back to you shortly!

Thank you!
Sign in to Google to save your progress. Learn more
Email *
What's your full name? *
What's your email address? *
What's your phone number? *
Do you live in Jabodetabek? *
What part of Jabodetabek do you live in? *
Where would you like to install the sensor? *
What is the approximate address at which you want to install the sensor? *
Are you interested in hosting a sensor at your location, or purchasing one to install in your location? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of nafas Indonesia. Report Abuse