{"id":4748,"date":"2023-05-20T11:46:07","date_gmt":"2023-05-20T04:46:07","guid":{"rendered":"https:\/\/dprd.ketapangkab.go.id\/ppid\/?page_id=4748"},"modified":"2023-06-15T21:10:26","modified_gmt":"2023-06-15T14:10:26","slug":"form-permintaan-informasi","status":"publish","type":"page","link":"https:\/\/dprd.ketapangkab.go.id\/ppid\/form-permintaan-informasi\/","title":{"rendered":"Form Permintaan Informasi"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4748\" class=\"elementor elementor-4748\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8840d4f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8840d4f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-486418c\" data-id=\"486418c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e15eb3 animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"3e15eb3\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;rollIn&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-content\/uploads\/2023\/06\/Permohonan-Informasi.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-content\/uploads\/2023\/06\/Permohonan-Informasi.png 300w, https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-content\/uploads\/2023\/06\/Permohonan-Informasi-150x150.png 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba3f5d9 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"ba3f5d9\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:300}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-small\">PERMOHONAN INFORMASI<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b9fed3 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"4b9fed3\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/dprd.ketapangkab.go.id\/ppid\/\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-home\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a978272 elementor-widget elementor-widget-text-editor\" data-id=\"a978272\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-4747\"><form method=\"post\" enctype=\"multipart\/form-data\" id=\"wpforms-form-4747\" action=\"\/ppid\/wp-json\/wp\/v2\/pages\/4748#wpforms-4747\" class=\"wpforms-validate wpforms-form\" data-formid=\"4747\"><div class=\"wpforms-field-container\"><div id=\"wpforms-4747-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_1\">Nama Pemohon (Sesuai Kartu Identitas) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4747-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-4747-field_2-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_2\">Jenis Kelamin <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][2]\" id=\"wpforms-4747-field_2\" class=\"wpforms-field-medium wpforms-field-required\"  required ><option value=\"Laki-Laki\" >Laki-Laki<\/option><option value=\"Perempuan\" >Perempuan<\/option><\/select><\/div><div id=\"wpforms-4747-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_3\">Usia <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4747-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-4747-field_5-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_5\">Nomor KTP <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4747-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-4747-field_6-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_6\">Scan KTP <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"file\" id=\"wpforms-4747-field_6\" class=\"wpforms-field-required\" data-rule-extension=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,xwav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,svg,svgz,xml\" data-rule-maxsize=\"10485760\" name=\"wpforms_4747_6\" required><\/div><div id=\"wpforms-4747-field_8-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_8\">Alamat Lengkap <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-4747-field_8\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][8][address1]\" required><label for=\"wpforms-4747-field_8\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-4747-field_8-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][8][address2]\" ><label for=\"wpforms-4747-field_8-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4747-field_8-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][8][city]\" required><label for=\"wpforms-4747-field_8-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4747-field_8-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][8][state]\" required><label for=\"wpforms-4747-field_8-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4747-field_8-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][8][postal]\" required><label for=\"wpforms-4747-field_8-postal\" class=\"wpforms-field-sublabel after \">Postal Code<\/label><\/div><\/div><\/div><div id=\"wpforms-4747-field_9-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_9\">Telepon\/HP <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4747-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-4747-field_10-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_10\">Fax<\/label><input type=\"tel\" id=\"wpforms-4747-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-4747-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4747-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-4747-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_11\">Informasi yang diminta <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-4747-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/textarea><\/div><div id=\"wpforms-4747-field_12-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_12\">Alasan Permintaan Informasi <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-4747-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/textarea><\/div><div id=\"wpforms-4747-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_13\">Cara Penyampaian Informasi<\/label><ul id=\"wpforms-4747-field_13\" class=\"\" ><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4747-field_13_1\" name=\"wpforms[fields][13]\" value=\"Tercetak\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4747-field_13_1\">Tercetak<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4747-field_13_2\" name=\"wpforms[fields][13]\" value=\"Dalam Bentuk Digital\"  checked='checked' ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4747-field_13_2\">Dalam Bentuk Digital<\/label><\/li><\/ul><\/div><div id=\"wpforms-4747-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-4747-field_14\">Tindak Lanjut<\/label><ul id=\"wpforms-4747-field_14\" class=\"\" ><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4747-field_14_1\" name=\"wpforms[fields][14]\" value=\"Telepon\/HP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4747-field_14_1\">Telepon\/HP<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4747-field_14_2\" name=\"wpforms[fields][14]\" value=\"Fax\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4747-field_14_2\">Fax<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4747-field_14_3\" name=\"wpforms[fields][14]\" value=\"Email\"  checked='checked' ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4747-field_14_3\">Email<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\" id=\"wpform-field-hp\"><label for=\"wpforms-field_hp\" class=\"wpforms-field-label\">Message<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-field_hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4747\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-4747\" value=\"wpforms-submit\" data-alt-text=\"Mengirim...\"> Kirim<\/button><\/div><\/form><\/div>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>PERMOHONAN INFORMASI<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-4748","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/pages\/4748","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/comments?post=4748"}],"version-history":[{"count":34,"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/pages\/4748\/revisions"}],"predecessor-version":[{"id":5497,"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/pages\/4748\/revisions\/5497"}],"wp:attachment":[{"href":"https:\/\/dprd.ketapangkab.go.id\/ppid\/wp-json\/wp\/v2\/media?parent=4748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}