JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR PERMOHONAN INFORMASI PUBLIK
PPID PELAKSANA BIRO HUKUM SEKRETARIAT DAERAH PROVINSI BENGKULU
Jl. Pembangunan No. 1 Padang Harapan, Bengkulu.
* Indicates required question
Email
*
Record my email address with my response
Nomor Pendaftaran (diisi petugas) :
Nama
*
Your answer
Email
*
Your answer
Telepon
*
Your answer
Alamat
*
Your answer
Rincian Informasi yang Dibutuhkan
*
Your answer
Tujuan Penggunaan Informasi
*
Your answer
Cara Memperoleh Informasi
*
Melihat/membaca/mendengarkan/mencatat
Mendapatkan salinan informasi (hardcopy/softcopy)
Cara Mendapatkan Salinan Informasi
*
Mengambil Langsung
Kurir
Pos
Email
Faksimili
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