JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR KEBERATAN
Sign in to Google
to save your progress.
Learn more
* Indicates required question
NOMOR REGISTRASI Permohonan Informasi
*
Your answer
Nama Pemohon
*
Your answer
Nomor Identitas (KTP/SIM/PASPOR)
*
Your answer
Alamat
*
Your answer
Nomor Telepon/HP
Jawaban Anda
*
Your answer
ALASAN KEBERATAN
Permohonan Informasi Ditolak
Permintaan Informasi Tidak Ditanggapi
Permintaan Informasi Ditanggapi Tidak Sebagaimana Yang Diminta
Permintaan Informasi Tidak Dipenuhi
Informasi Yang Disampaikan Melebihi Jangka Waktu Yang Ditentukan
Biaya Yang Dikenakan Tidak Wajar
Informasi Berkala Tidak Disediakan
Clear selection
KASUS POSISI
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report