FORMULIR PENGAJUAN KEBERATAN ATAS PERMOHONAN INFORMASI PUBLIK
Kepada Yth.
Atasan PPID (Pejabat Pengelola Informasi dan Dokumentasi) Nagari Sungai Aua  
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Nama *
Alamat *
No. Telp/HP *
E-Mail *
No. Registrasi Permohonan Informasi
Tanggal Permohonan Informasi *
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