JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR PERMINTAAN INFORMASI PUBLIK
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama
*
Your answer
No KTP
*
Your answer
Alamat
*
Your answer
No. Hp / WA
*
Your answer
Pertanyaan /Rincian Informasi yg Dibutuhkan
*
Your answer
Tujuan Penggunaan Informasi
*
Your answer
Cara Memperoleh Informasi
Melihat
Membaca
Mendengarkan
Mencatat
Hardcopy
Softcopy
Clear selection
Cara Mendapatkan Salinan Informasi
Mengambil Langsung
Kurir
Pos
Faksimili
E-Mail
Via Whatsapp
Clear selection
*
Data dan informasi akan saya gunakan sesuai dengan ketentuan yang berlaku
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report