FORMULIR PERMOHONAN INFORMASI PUBLIK

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

FORMULIR PERMOHONAN INFORMASI PUBLIK

Layanan Informasi

Sign in to Google to save your progress. Learn more

Nama Lengkap (Tanpa Gelar) *

Your answer

Nomor Identitas (KTP/SIM/Paspor) *

Your answer

Lampiran (KTP/SIM/Paspor) *

Your answer

Email *

Your answer

Handphone *

Your answer

Alamat *

Your answer

Jenis Layanan *

Choose

Permohonan Informasi

Pengajuan Keberatan

Pengaduan Pungli dan Gratifikan

Pengaduan Penyalahgunaan

Wewenang/Pelanggaran Pejabat

Kategori Pemohon *

Perorangan

Kelompok

LSM / NGO

Clear selection

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