A white paper document, visibly creased and folded horizontally and vertically, rests on a light grey, possibly concrete or tiled surface

A white paper document, visibly creased and folded horizontally and vertically, rests on a light grey, possibly concrete or tiled surface. The document displays a form titled "DATA SEMENTARA" (Temporary Data) in black sans-serif font. The left column lists various fields in Indonesian for business and personal information, including "EDC/QRIS," "NAMA USAHA" (Business Name), "ALAMAT USAHA" (Business Address), "KODE POS" (Postal Code), "NO.TLP/HP" (Phone/Mobile Number), "NAMA PEMILIK USAHA" (Business Owner Name), "TEMPAT LAHIR" (Place of Birth), "TANGGAL LAHIR" (Date of Birth), "NIK/PASPORT" (ID Card/Passport Number), "NPWP (*jika ada)" (Tax ID Number *if applicable*), "JENIS USAHA" (Type of Business), "REK PENAMPUNG" (Holding Account), "TEMPAT USAHA" (Business Location), "POSISI USAHA" (Business Position), "KEPEMILIKAN TEMPAT" (Premises Ownership), and "LAMA USAHA" (Length of Business Operation). The corresponding right column contains blank spaces or colons intended for data entry. No information has been filled into the form. A dark, diagonal line, possibly a grout line or seam, is visible on the surface in the upper right portion of the image. The scene is static, devoid of people, active subjects, or discernible interactions, located in Bandung City, Indonesia.