Sani Site Survey

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Customer Information

*Please provide customer name.
*Please select customer country.
*Please provide customer city.
*Please provide customer zipcode.
*Please provide customer street name.
*Please provide customer street number.

Wards

+ Add New
*Please add at least one ward.
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Customer Information

Name:
Country:
City:
Zipcode:
Street name:
Street number:

Wards

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*Please provide your email.

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Ward

*Please enter ward name.

Room types

+ Add New
*Please add at least one room type.

Dispenser types

+ Add New
*Please add at least one dispenser type.

Staff types

+ Add New
*Please add at least one staff type.
Delete Save

Room type

*Please select room type.
*Please select total number of wall/bed positions.
*Are you sure you don't want to submit a sample picture of the room type from the door?
*Are you sure you don't want to submit a picture of where the sensor should be installed?
Delete Save

Dispenser type

*Please enter model name.
*Please enter model number/ID.
*Please enter total number of dispensers.
*Please select Soap or hand rub.
*Are you sure you don't want to submit a picture of the dispenser from the front?
*Are you sure you don't want to submit a picture of the dispenser from the side?
*Are you sure you don't want to submit a picture of the label with the name of the dispenser?
Delete Save

Staff type

*Please enter staff name.
*Please enter total number of staff with this job title.
*Are you sure you don't want to submit a picture of the staff’s existing ID card?
Delete Save