JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR PERMOHONAN INFORMASI
Perwakilan BKKBN Provinsi Papua Barat
* wajib
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Jenis Pemohon
*
Perorangan
Kelompok
Badan Hukum
LSM/NGO
Instansi Pemerintah
Lembaga Pendidikan
DATA PEMOHON
Nama Lengkap
*
Your answer
Pekerjaan
*
Your answer
Email
*
Your answer
Nomor Telepon/HandPhone/Whatsapp
*
Your answer
PERMOHONAN INFORMASI
Rincian informasi yang dimohonkan
*
Your answer
Cara mengambil/memperoleh feedback informasi
*
Mengambil Langsung
Melalui email
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms