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Formulir Pengajuan Keberatan Informasi RSUD Merah Putih
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Nomor Permohonan InformasiĀ
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Your answer
Nama Lengkap
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Alamat
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Nomor Telp/HP
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Nomor Identitas (KTP/SIM/KTA/KTM)
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Email
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Alasan Pengajuan Keberatan
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Permohonan informasi ditolak
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Permintaan informasi tidak ditanggapi
Permintaan informasi tidak ditanggapi sebagaimana diminta
Permintaan informasi tidak terpenuhi
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