JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Form Permohonan Informasi
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama
*
Your answer
Alamat
*
Your answer
Pekerjaan
*
Your answer
Nomor Telepon/E-mail
*
Your answer
Rincian Informasi yang dibutuhkan
*
Your answer
Tujuan Penggunaan Informasi
*
Your answer
Tujuan Penggunaan Informasi
*
Your answer
Cara Memperoleh Informasi **
*
Melihat/Membaca/Mendengarkan/Mencatat***
Mendapatkan salinan informasi (hardcopy/softcopy) ***
Required
Cara Mendapatkan Salinan Informasi**
*
Mengambil Langsung
Kurir
Pos
Faksimili
E-mail
Required
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
