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Formulir Keberatan Permohonan Informasi
Layanan Klaim Keberatan Permintaan Informasi Desa Karangpatihan Kecamatan Balong Kabupaten Ponorogo
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Nama
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Your answer
Email
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Your answer
Alamat Lengkap
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Your answer
Nomor Telephone
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Your answer
Jenis Kelamin
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Laki -laki
Perempuan
Other:
Status Perkawinan
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Single
Menikah
Janda/Duda
Other:
Pekerjaan
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Nomor Identitas KTP/PASPOR/SIM
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Tujuan Keberatan Pengunaan Informasi
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Cara Mendapatkan Salinan Informasi Yg Di Inginkan
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Di Ambil ke Kantor Desa
Email
Faximili
Kurir
Cara Memperoleh Informasi Yg Di Inginkan
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Melihat/Membaca/Mendengar/Mencatat
Salinan Informasi Hard Copy/Soft Copy
Keberatan Permintaan Informasi (dijabarkan detail)
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