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

 

 

Nomor                                    : ……………………………………………..

Telah diterima pengaduan dari  :          …………………………………………………………………..

Nama                                      : …………………………………………………………………..

Alamat                                    : ………………………………………………………..................

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Rincian Pengaduan                 : ………………………………………………………..................

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

                                                                                                 Petugas,

 

 

 

 

                                                                                                 ( ……………………….. )

 

 

 

 

 

 

 

 

 

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

 

 

Statistik Pengunjung

6 4 0 9 5
Hari Ini
Kemarin
Minggu Ini
Minggu Kemarin
Bulan Ini
Bulan Kemarin
Total
69
143
64095
0
6915
6875
64095
IP Anda : 54.198.92.22
2019-03-24 09:08