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Form Keberatan Informasi
Form ini dikhusukan untuk pemohon informasi untuk menyampaikan Keberatan Informasi. Adapun pemohon informasi dapat mengajukan keberatan dalam waktu 30 hari setelah informasi diterima, kemudian PPID wajib memberikan tanggapan tertulis mengenai keberatan informasi dan selambat-lambatnya 30 hari kerja.
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Email
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Your email
Nama
*
Your answer
No. KTP/Passport
*
isian di awali dengan tanda pagar "#"
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No. Telp
*
Your answer
Alamat
*
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Kab/Kota
*
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Provinsi
*
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Kode Pos
*
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Informasi yang dibutuhkan
*
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Cara memperoleh informasi
*
Email
Other:
Alasan penggunaan informasi
*
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Deskripsi keberatan informasi
*
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