Request for Public Information

ISI Yogyakarta Public Information Request Form

With a full sense of responsibility, I request ISI Yogyakarta public information with the following data:

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Name of Applicant/Legal Entity (fill in full name) *

Population Identification Number (NIK) / Legal Entity Establishment Deed *

Email (fill in active email) *

Phone Number *

Jobs *

Full Address *

Information Requested *

CategoryNew Student AdmissionEducation ServicesStudent ServicesPersonnel ServicesResearch ServicesDedication ServiceGeneral ServicesProcurement Services

Purpose of Information Request *

Confirmation

• I hereby declare that the data filled in this form is true and can be accounted for.

Submit

Description:

• required