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Survey Kepuasan Masyarakat Pengadilan Agama Pacitan Kelas 1B
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* Indicates required question
Nama Responden
*
Your answer
Nomor Handphone
*
Your answer
Jenis Pelayanan
*
Layanan Pengambilan Produk Akta Cerai
Layanan Pengambilan Produk Salinan Penetapan
Layanan Pengambilan Produk Salinan Putusan
Layanan Informasi
Layanan Pengaduan
Layanan Posbakum
Required
Tanggal Survey
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MM
/
DD
/
YYYY
Umur
*
Your answer
Pendidikan Terakhir
*
SD
SMP
SMA
D1, D2, D3, D4
S1
S2
S3
Tidak Sekolah
Pekerjaan
*
PNS/TNI/POLRI
Pegawai Swasta
Wiraswasta
Pelajar / Mahasiswa
Other:
Suku Bangsa
Jawa
Madura
Sunda
Batak
Banjar
Other:
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