Formulir Pengaduan
Lembaga Ombudsman Daerah Istimewa Yogyakarta
Nama Pengadu *
Your answer
Status *
Silahkan pilih status aduan, Lembaga Ombudsman DIY akan merahasiakan identitas pengadu/pelapor apabila diminta
Alamat Lengkap *
Your answer
No Telepon/HP Pengadu *
Your answer
No Identitas Pengadu *
KTP/SIM/Pasport
Your answer
Alamat Email Pengadu *
jika tidak memiliki diisi "tidak ada"
Your answer
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