{"id":2471,"date":"2025-07-24T02:16:42","date_gmt":"2025-07-24T02:16:42","guid":{"rendered":"https:\/\/disdikbud.kapuashulukab.go.id\/?page_id=2471"},"modified":"2025-08-03T15:05:40","modified_gmt":"2025-08-03T15:05:40","slug":"formulir-keberatan-atas-informasi","status":"publish","type":"page","link":"https:\/\/disdikbud.kapuashulukab.go.id\/?page_id=2471","title":{"rendered":"Formulir keberatan atas informasi"},"content":{"rendered":"\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\"  class=\"wp-block-file__embed\" data=\"https:\/\/disdikbud.kapuashulukab.go.id\/wp-content\/uploads\/2025\/08\/Formulir-Keberatan-atas-informasi-dikbud.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Sematan Formulir-Keberatan-atas-informasi-dikbud.\"><\/object><a id=\"wp-block-file--media-d62863e4-f5db-44b3-8751-50a05c2f9f19\" href=\"https:\/\/disdikbud.kapuashulukab.go.id\/wp-content\/uploads\/2025\/08\/Formulir-Keberatan-atas-informasi-dikbud.pdf\">Formulir-Keberatan-atas-informasi-dikbud<\/a><a href=\"https:\/\/disdikbud.kapuashulukab.go.id\/wp-content\/uploads\/2025\/08\/Formulir-Keberatan-atas-informasi-dikbud.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-d62863e4-f5db-44b3-8751-50a05c2f9f19\">Unduh<\/a><\/div>\n\n\n\n<style><\/style><div class='rmformui'><div id='rm-form-container' class='rmform-design--default-container'><form id='rmform-module-4' class='rmform-ui rmform-custom-form rmform-custom-form-4 rmform-design--default' action='' method='post' enctype='multipart\/form-data'data-form-id='4' data-design='default' data-style='label_top' data-type='1'><div class='rmform-page'><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-fname-62' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='62'><label for=\"input_id_Fname_62\" id=\"label_id_Fname_62\" class=\"rmform-label\" > NAMA<\/label><input type=\"text\" name=\"Fname_62\" class=\"rmform-control \" aria-describedby=\"rm-note-62\" id=\"input_id_Fname_62\" aria-labelledby=\"label_id_Fname_62\" value=\"\" placeholder=\"\" minlength=\"\" maxlength=\"\"  ><span class='rmform-error-message' id='rmform-fname_62-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-binfo-63' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='63'><label for=\"input_id_BInfo_63\" id=\"label_id_BInfo_63\" class=\"rmform-label\" > Alamat<\/label><textarea name=\"BInfo_63\" class=\"rmform-control \" aria-describedby=\"rm-note-63\" id=\"input_id_BInfo_63\" aria-labelledby=\"label_id_BInfo_63\" row=\"\" col=\"\" placeholder=\"\" minlength=\"\" maxlength=\"\"  ><\/textarea><span class='rmform-error-message' id='rmform-binfo_63-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-64' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='64'><label for=\"input_id_Textbox_64\" id=\"label_id_Textbox_64\" class=\"rmform-label\" >  Pekerjaan<\/label><input type=\"text\" name=\"Textbox_64\" class=\"rmform-control \" aria-describedby=\"rm-note-64\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_64\" aria-labelledby=\"label_id_Textbox_64\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_64-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-61' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='61'><label for=\"input_id_Email_61\" id=\"label_id_Email_61\" class=\"rmform-label\"  >  Email<\/label><input type=\"email\" name=\"Email_61\" class=\"rmform-control \" aria-describedby=\"rm-note-61\" id=\"input_id_Email_61\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_61\" value=\"\" placeholder=\"\" required data-primary=\"1\" aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-email_61-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-number-65' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='65'><label for=\"input_id_Number_65\" id=\"label_id_Number_65\" class=\"rmform-label\" > Nomor Telepon<\/label><input type=\"number\" name=\"Number_65\" class=\"rmform-control \" aria-describedby=\"rm-note-65\" value=\"\" min=\"0\" id=\"input_id_Number_65\" aria-labelledby=\"label_id_Number_65\" minlength=\"\" maxlength=\"\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-number_65-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-checkbox-66' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='66'><span class=\"rmform-label\" > Alasan pengajuan Keberatan***<\/span><div class='rmform-field-vertical-row' data-field-col='1'><label class='rmform-check' for='checkbox_66_0'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_0\" id=\"checkbox_66_0\" value=\"Permohonan ditolak\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_0'>Permohonan ditolak<\/span><\/label><label class='rmform-check' for='checkbox_66_1'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_1\" id=\"checkbox_66_1\" value=\"informasi berkala tidak disediakan\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_1'>informasi berkala tidak disediakan<\/span><\/label><label class='rmform-check' for='checkbox_66_2'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_2\" id=\"checkbox_66_2\" value=\"permintaan informasi tidak ditanggapi\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_2'>permintaan informasi tidak ditanggapi<\/span><\/label><label class='rmform-check' for='checkbox_66_3'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_3\" id=\"checkbox_66_3\" value=\"permintaan tidak sebagaimana yang diminta\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_3'>permintaan tidak sebagaimana yang diminta<\/span><\/label><label class='rmform-check' for='checkbox_66_4'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_4\" id=\"checkbox_66_4\" value=\"permintaan tidak dipenuhi\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_4'>permintaan tidak dipenuhi<\/span><\/label><label class='rmform-check' for='checkbox_66_5'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_5\" id=\"checkbox_66_5\" value=\"biaya yang dikenakan tidak wajar\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_5'>biaya yang dikenakan tidak wajar<\/span><\/label><label class='rmform-check' for='checkbox_66_6'><input name=\"Checkbox_66[]\" class=\"rmform-control checkbox_66 \" aria-describedby=\"rm-note-66\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_66_6\" id=\"checkbox_66_6\" value=\"informasi disampaikan melebihi jangka waktu yang ditentukan\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_66_6'>informasi disampaikan melebihi jangka waktu yang ditentukan<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-checkbox_66-error'><\/span><div id='rm-note-66' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-jqueryuidate-68' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='68'><label for=\"input_id_jQueryUIDate_68\" id=\"label_id_jQueryUIDate_68\" class=\"rmform-label\" > tanggal waktu pengajuan formulir permohonan informasi<\/label><input type=\"text\" name=\"jQueryUIDate_68\" class=\"rmform-control datepicker\" aria-describedby=\"rm-note-68\" autocomplete=\"off\" readonly data-dateformat=\"mm\/dd\/yy\" data-fieldtype=\"jQueryUIDate\" aria-labelledby=\"label_id_jQueryUIDate_68\" id=\"input_id_jQueryUIDate_68\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-jqueryuidate_68-error'><\/span><\/div><\/div><\/div><\/div><\/div><div id='rm-last-fields'><input type='hidden' name='rm_user_role' value='subscriber'><input type='hidden' name='form_id' value='4'><input type='hidden' name='form_no' value='1'><input type='hidden' name='rm_cond_hidden_fields' id='rm_cond_hidden_fields' value=''><input type='hidden' name='stat_id' value='2253'><\/div><div id='rm_form_submit_button' class='rm-form-btn-align-center'><input type='submit' id='rm-form-submit-btn' value='Submit'><\/div><\/form><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"_links":{"self":[{"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=\/wp\/v2\/pages\/2471"}],"collection":[{"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2471"}],"version-history":[{"count":3,"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=\/wp\/v2\/pages\/2471\/revisions"}],"predecessor-version":[{"id":2572,"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=\/wp\/v2\/pages\/2471\/revisions\/2572"}],"wp:attachment":[{"href":"https:\/\/disdikbud.kapuashulukab.go.id\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}