JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Form Aduan Masyarakat Desa Tangkil
Silahkan isi formulir di bawah untuk pengaduan terkait pelayanan Desa Tangkil, Kec. Sragen, Kab. Sragen
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Tanggal Laporan
*
MM
/
DD
/
YYYY
Nama (Dapat menggunakan nama asli atau samaran jika tidak berkenan)
*
Your answer
No. KTP / NIK
*
Your answer
No. HP (Dapat diisi jika menginginkan notifikasi laporan)
Your answer
Aduan Pelayanan Terkait
*
Ketertiban Umum
Pelayanan Kantor Kelurahan Desa Tangkil
Infrastruktur
Sosial Budaya
Keagamaan
Pungli (Pungutan Liar)
Lainnya
Tulis aduan Anda dengan jelas
*
Your answer
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
