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Formulir Pengaduan Masyarakat
Silahkan anda isi data dengan sebaik baiknya
Jawaban pengaduan akan di kirim Via Whatsapp/email
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Nama Lengkap Pelapor
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Your answer
Jenis Kelamin
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Laki-Laki
Perempuan
Usia
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Your answer
Nomor KTP/NIK
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Your answer
Alamat Lengkap
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Your answer
No telepon/WA
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Your answer
Emai
Your answer
Materi yang dilaporkan
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Your answer
Kritik dan saran
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Your answer
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