Formulir Permohonan Informasi Publik Kemenkes Poltekkes Surakarta
Pejabat Pengelola Informasi dan Dokumentasi (PPID)  Kemenkes Poltekkes Surakarta
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Nama *
Alamat Sesuai KTP *
Nomor Handphone (WA) *
Alamat Email Pribadi *
Rincian Informasi yang dibutuhkan
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Tujuan Penggunaan Informasi
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Cara Memperoleh Informasi *
Cara Mendapatkan Salinan Informasi
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