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Survei PTSP Online Ramah Disabilitas
PENGADILAN AGAMA KAB. MADIUN
JL. RAYA TIRON KM.6 NGLAMES TELP. (0351) 463301
http://www.pa-kabmadiun.go.id
e-mail:
pa.kab.madiun@gmail.com
MADIUN
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1.Nama
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2.Umur
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3.Jenis Kelamin
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Laki - Laki
Perempuan
4.Pendidikan Terakhir
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Tidak Sekolah
SD
SMP/SLTP
SMA/SLTA
Diploma (D1/D2/D3/D4)
Sarjana (S1)
Pasca Sarjana (S2/S3)
5.Pekerjaan / Kegiatan Utama
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6.Untuk Pihak Siapa Bapak/Ibu menggunakan layanan
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Diri Sendiri (pribadi / instansi)
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7. Keterkaitan saudara dengan layanan peradilan (PERDATA)
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Pemohon/termohon/penggugat/tergugat
Kuasa Hukum/ Penasehat Hukum
Saksi
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8. Jenis Layanan/ Keperluan
Gugatan
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Upaya Hukum (banding/Kasasi/PK)
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