JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Permohonan Informasi
Pelayanan Permohonan Informasi
Sign in to Google
to save your progress.
Learn more
* Indicates required question
NIK
*
Your answer
Nama Lengkap
*
Your answer
Alamat
*
Your answer
No. Telepon/HP
*
Your answer
E-mail
*
Your answer
Rincian Permohonan Informasi
*
Your answer
Tujuan Penggunaan Informasi
*
Your answer
Cara Memperoleh Informasi
*
Choose
Melihat/Membaca/Mendengarkan/Mencatat
Mendapatkan Salinan Informasi (Hard Copy/Soft Copy)
Cara Mendapatkan Salinan Informasi
*
Choose
Mengambil Langsung
Kurir
Pos
E-mail
Faksimili
Whatsapp
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
