FORMULIR PENGADUAN MASYARAKAT

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                                                                                                 Tahuna, ..…………… 20 …….

                                                                                                 Pengadu,

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PENGADILAN AGAMA TAHUNA

Jalan Baru Tona No. 11 ( 0432-21309 Fax. 0432-23239

Website : www. pa-tahuna.go.id

Email : pa.tahuna@yahoo.co.id

TANDA BUKTI PENGADUAN

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                                                                                                 Tahuna, ..…………… 20 …….

                                                                                                 Petugas,

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PENGADILAN AGAMA TAHUNA

Jalan Baru Tona No. 11 ( 0432-21309 Fax. 0432-23239

Website : www. pa-tahuna.go.id

Email : pa.tahuna@yahoo.co.id