Public Information Request

Name

Jobs

ID Card No./ Tax ID No.

Phone/ Mobile Phone

Date of Birth

Place of Birth

Public Institution Name

Work unit

Center

Province

City/Regency

Legal Institution Name

SK Number

Phone/ Mobile Phone

Date of Establishment

Place of Establishment

Address

Province

City

Postal Code

Email

Phone/ Mobile Phone

Information needed

Purpose of information use

Supporting Document

Select File

Copy of ID card or Certificate of Residency from the Department of Population and Civil Registration

Supporting Document

Select File

Official letter from the public institution

Supporting Document

Select File

Copy of the deed of establishment of the legal entity that has been approved by the Ministry of Law and Human Rights

Method of Obtaining Information

Immediately (Seeing/reading/listening/writing)

Getting a copy (hard copy / soft copy)

Method of Obtaining Information Copies

Direct pick-up

Sent by pos

Fax

E-mail

We hereby declare that the data and information we obtain will be used according to its intended purpose and with full responsibility.

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PUBLIC INFORMATION REQUEST

INFORMATION REQUEST FORM

10

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0%

INFORMATION REQUEST FORM

Profile

Investor

Media

Sustainability

PPID

PUBLIC INFORMATION REQUEST

INFORMATION REQUEST FORM

10

90%

0%

INFORMATION REQUEST FORM

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