Formulir permohonan informasi publik di lingkungan Universitas Pembangunan Nasional Veteran Yogyakarta.
Bapak/Ibu mohon berkenan mengisikan jawaban secara lengkap sebelum mengirimkan formulir.
Email*
Valid email
Question
*
Question
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Jl. cendrawasih 11 b 434
*
Question
Jl. cendrawasih 11 b 434
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Tenaga Honorer Pemda Kota Bekasi
*
Question
Tenaga Honorer Pemda Kota Bekasi
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
089652500041
*
Question
089652500041
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
dwip3381@gmail.com
*
Question
dwip3381@gmail.com
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Kategori Pemohon
*
Question
Kategori Pemohon
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Instansi Pemerintah
Instansi Swasta
Organisasi Lainnya
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
bagaimana cara meminta sertifikat akreditasi kampus jurusan Ekonomi Pembangunan
*
Question
bagaimana cara meminta sertifikat akreditasi kampus jurusan Ekonomi Pembangunan
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
saya lulusan 2005 jurusan ekonomi pembangunan
*
Question
saya lulusan 2005 jurusan ekonomi pembangunan
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
untuk Pemberkasan P3K
*
Question
untuk Pemberkasan P3K
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Cara Memperoleh Informasi
*
Question
Cara Memperoleh Informasi
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Melihat/membaca/mendengarkan/mencatat***
Mendapat salinan informasi (hardcopy/softcopy)***
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Cara Mendapatkan Salinan Informasi
*
Question
Cara Mendapatkan Salinan Informasi
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Mengambil Langsung
Kurir
Pos
dwip3381@gmail.com
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses…
This form is approaching the response limit. Once surpassed, the summary of responses will no longer be displayed. Learn more
Close
This form has exceeded 50,000 responses and the summary of responses can no longer be displayed. You can still download responses as a .csv file. Learn more
Copy chart
No responses yet for this question.
Jl. cendrawasih 11 b 434
No responses yet for this question.
Tenaga Honorer Pemda Kota Bekasi
Copy chart
No responses yet for this question.
089652500041
Copy chart
No responses yet for this question.
dwip3381@gmail.com
Copy chart
No responses yet for this question.
Kategori Pemohon
Copy chart
No responses yet for this question.
bagaimana cara meminta sertifikat akreditasi kampus jurusan Ekonomi Pembangunan
Copy chart
No responses yet for this question.
saya lulusan 2005 jurusan ekonomi pembangunan
No responses yet for this question.
untuk Pemberkasan P3K
Copy chart
No responses yet for this question.
Cara Memperoleh Informasi
Copy chart
No responses yet for this question.
Cara Mendapatkan Salinan Informasi
Copy chart
No responses yet for this question.
Waiting for responses
of
11
This form is approaching the response limit. Once surpassed, the question view will no longer be displayed. Learn more
Close
of
1
Loading...
Loading response…
This form is approaching the response limit. Once surpassed, the individual view will no longer be displayed. Learn more
Close
Grades from previous versions of this form are hidden. Learn more
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
points
Responses
Manage how responses are collected and protected
Collect email addresses
Required by Locked mode
Do not collect
Verified
Responder input
Send responders a copy of their response
Disabled by Locked mode
Requires Collect email addresses
Off
When requested
Always
Requires sign in
File upload
Total size limit for all uploaded files
This limit is smaller than the max size of a single response.
Responses will not be accepted after the limit is reached. Learn more