Information Request Form

    Full Name

    Address

    Email Us

    Phone

    Attachment

    (KTP / Family Card / SIM / Student Card / Student Card)

    Attachment

    Attach an assignment warrant (if the applicant is on behalf of an institution / legal entity)

    Purpose of Information Requests

    Message

    Everyone has the right to obtain Public information in accordance with the provisions of the law. The requirements that must be met by applicants for public information include:

    • Include a clear and complete identity
    • Provide a photocopy of proof of identity (KTP / Family Card / SIM / Student Card / Student Card)
    • Include a clear address and telephone number
    • Clearly convey the required information
    • Include the purpose and purpose of requesting information
    • Attach an assignment warrant (if the applicant is on behalf of an institution / legal entity)