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FORMULIR PERMOHONAN INFORMASI PUBLIK
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Nama Pemohon Informasi
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Nomor KTP Pemohon Informasi
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Alamat Pemohon Informasi
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Nomor Telp/WA
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E-mail
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Informasi yang dibutuhkan
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Alasan Permintaan Informasi
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Cara memperoleh informasi
Langsung
Website
E-mail
WA
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Format bahan informasi
Tercetak
Terekam
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Cara mengirim bahan informasi
Langsung
Via Pos
E-mail
Wa
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