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Form Pernyataan Keberatan atas Permohonan Informasi
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* Indicates required question
Nomor Registrasi
*
Nomor registrasi terdapat pada email permohonan Informasi
Your answer
Jenis Permohonan
*
Perserorangan
Badan Hukum
Kelompok Orang
Jenis Identitas
*
KTP atau Identitas lainnya sebagai kelompok maupun badan hukum
Your answer
Nomor Indentitas
*
Your answer
Nama Pemohon
*
Your answer
Nomor Tlp/HP
*
Your answer
Email
*
Your answer
Alasan Keberatan
*
Your answer
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