Permohonan Keberatan – Pemerintah Kota Palangka Raya

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Formulir Permohonan Keberatan

Sampaikan permohonan keberatan dengan jelas agar kami dapat menindak lanjuti permohonan Anda.

Kode Permohonan

Nomor Identitas (KTP/No. Badan Hukum/Nomor Induk Mahasiswa)(Required)

Sertakan Identitas Kuasa(Required)

Tidak

Ya

Nama Kuasa

Alamat Kuasa

No HP Kuasa

Alasan Pengajuan Keberatan(Required)

Tujuan Pengajuan Keberatan(Required)

Upload Berkas Surat Kuasa

Accepted file types: jpeg, jpg, png, pdf, Max. file size: 5 MB.

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Layanan Permohonan Informasi dan Dokumentasi

Layanan Permohonan Informasi dan Dokumentasi

bit.ly/informasippidpraya
Scan QR Code di atas untuk mengakses layanan informasi publik Pemerintah Kota Palangka Raya

Program KOTAKU

HUBUNGI KAMI

DINAS KOMUNIKASI INFORMATIKA, STATISTIK DAN PERSANDIAN KOTA PALANGKA RAYA

Jalan Tjilik Riwut Km.5,5 No.98, Kelurahan Bukit Tunggal, Kecamatan Jekan Raya
Kota Palangka Raya

Email : kominfo@palangkaraya.go.id

©2022 - Pemerintah Kota Palangka Raya

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