LAYANAN ANTRI BAGI KELOMPOK RENTAN

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LAYANAN ANTRI BAGI KELOMPOK RENTAN

Khusus Pengunjung/Pihak Kelompok Rentan di Pelayanan Terpadu Satu Pintu (PTSP) Pengadilan Agama Bengkayang

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Nama *

Your answer

NIK

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Tempat, Tanggal Lahir

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Nomor WhatsApp *

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Alamat

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Alasan Prioritas *

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Penyandang Disabilitas

Lanjut Usia

Wanita Hamil / Menyusui

Korban Bencana Alam

Korban Bencana Sosial

Tujuan Pelayanan *

Pendaftaran Perkara / E-Court

Informasi / Pengaduan

Penyerahan Produk

Pembayaran / Kasir

Perkiraan Waktu Kunjungan *

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YYYY

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