{"id":6065,"date":"2025-11-26T10:35:42","date_gmt":"2025-11-26T03:35:42","guid":{"rendered":"http:\/\/172.16.7.22\/ppid\/?page_id=6065"},"modified":"2026-03-20T09:44:40","modified_gmt":"2026-03-20T02:44:40","slug":"formulir-permohonan-informasi","status":"publish","type":"page","link":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/formulir-permohonan-informasi\/","title":{"rendered":"Formulir Permohonan Informasi"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6065\" class=\"elementor elementor-6065\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9f39d78 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9f39d78\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-446a11a\" data-id=\"446a11a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-55e16fe elementor-widget elementor-widget-ova_heading\" data-id=\"55e16fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ova_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"ova-heading\">\n\t\t\t\n\t\t\t\t\t\t\t<h3 class=\"title second_font\">Formulir Permohonan Informasi Publik<\/h3>\n\t\t\t\n\t\t\t\t\t\t\t<p class=\"sub-title \">Formulir ini digunakan oleh pemohon untuk mengajukan permohonan informasi publik sesuai dengan ketentuan perundang-undangan.<\/p>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-7a411fe e-flex e-con-boxed e-con e-parent\" data-id=\"7a411fe\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a193611 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"a193611\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Form Informasi Publik\" aria-label=\"Form Informasi Publik\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"6065\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"a193611\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Formulir Permohonan Informasi\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"6065\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-hidden elementor-field-group elementor-column elementor-field-group-nomor_permohonan elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"hidden\" name=\"form_fields[nomor_permohonan]\" id=\"form-field-nomor_permohonan\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-kategori_permohonan elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kategori_permohonan\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKategori Permohonan\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[kategori_permohonan]\" id=\"form-field-kategori_permohonan\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Perorangan\">Perorangan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kelompok\">Kelompok<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Badan Hukum\">Badan Hukum<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nik elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nik\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNIK\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nik]\" id=\"form-field-nik\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"NIK\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nama elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nama\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNama Lengkap\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nama]\" id=\"form-field-nama\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nama Lengkap\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-upload_ktp elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-upload_ktp\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUpload KTP\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[upload_ktp]\" id=\"form-field-upload_ktp\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" required=\"required\" data-maxsize=\"3\" data-maxsize-message=\"This file exceeds the maximum allowed size.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-alamat elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alamat\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAlamat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[alamat]\" id=\"form-field-alamat\" rows=\"1\" placeholder=\"Alamat\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nomor_telepon elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nomor_telepon\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNomor Telepon\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nomor_telepon]\" id=\"form-field-nomor_telepon\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nomor Telepon\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-rincian_informasi elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-rincian_informasi\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRincian Informasi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[rincian_informasi]\" id=\"form-field-rincian_informasi\" rows=\"1\" placeholder=\"Rincian Informasi\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-tujuan_penggunaan_informasi elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tujuan_penggunaan_informasi\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTujuan Penggunaan Informasi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[tujuan_penggunaan_informasi]\" id=\"form-field-tujuan_penggunaan_informasi\" rows=\"1\" placeholder=\"Tujuan Penggunaan Informasi\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-cara_memperoleh_informasi elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cara_memperoleh_informasi\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCara Memperoleh Informasi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[cara_memperoleh_informasi]\" id=\"form-field-cara_memperoleh_informasi\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Melihat \/ Membaca\">Melihat \/ Membaca<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mendengarkan\">Mendengarkan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mencatat\">Mencatat<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mendapatkan salinan\">Mendapatkan salinan<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-mendapatkan_salinan elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mendapatkan_salinan\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMendapatkan Salinan Informasi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[mendapatkan_salinan]\" id=\"form-field-mendapatkan_salinan\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Softcopy\">Softcopy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hardcopy\">Hardcopy<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-cara_mendapatkan_salinan elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cara_mendapatkan_salinan\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCara Mendapatkan Salinan Informasi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[cara_mendapatkan_salinan]\" id=\"form-field-cara_mendapatkan_salinan\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Diambil langsung\">Diambil langsung<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Email\">Email<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"POS\/Jasa Pengiriman\">POS\/Jasa Pengiriman<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Kirim Permohonan<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formulir Permohonan Informasi Publik Formulir ini digunakan oleh pemohon untuk mengajukan permohonan informasi publik sesuai dengan ketentuan perundang-undangan.<\/p>\n","protected":false},"author":1,"featured_media":352,"parent":0,"menu_order":97,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6065","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/pages\/6065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/comments?post=6065"}],"version-history":[{"count":241,"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/pages\/6065\/revisions"}],"predecessor-version":[{"id":8369,"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/pages\/6065\/revisions\/8369"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/media\/352"}],"wp:attachment":[{"href":"https:\/\/rsudtebet.jakarta.go.id\/ppid\/wp-json\/wp\/v2\/media?parent=6065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}