JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulir Permohonan
Informasi Publik
Sign in to Google
to save your progress.
Learn more
* Indicates required question
tanggal
*
MM
/
DD
/
YYYY
Kode Surat
*
Your answer
Alamat Instansi
*
Your answer
No KTP/SIM/Identitas Pribadi (*bagi orang pribadi)
Your answer
Alamat e-mail
Your answer
Hal/ Rincian informasi yang dibutuhkan
*
Your answer
Tujuan Informasi
*
Your answer
Cara memperoleh informasi
*
Melihat/ membaca/ mendengarkan/ mencatat
mendapat salinan informasi/ balasan surat (hardcopy/ soft copy)
cara mendapatkan informasi
*
Diambil langsung
mohon dikirim melalui Pos/Kurir
mohon dikirim melalui Faksimile
dikirim melalui e-mail
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Universitas Bangka Belitung.
Report Abuse
Forms
