Permohonan Informasi Publik

Form Permohonan Informasi Publik

Nama Depan
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Nama Belakang
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Email Aktif
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Kontak Telp.
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No. Identitas KTP/Passport
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Pekerjaan
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Alamat
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Rincian Informasi
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Tujuan Penggunaan Informasi
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Cara Memperoleh Informasi
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Jenis Salinan
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Cara Mendapatkan Salinan
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Upload identitas Anda menggunakan scan atau hasil foto. Pastikan gambar terlihat jelas

Upload Foto/Scan Identitas
Foto/scan identitas...
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