{"id":32,"date":"2023-11-20T06:36:17","date_gmt":"2023-11-20T06:36:17","guid":{"rendered":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/?page_id=32"},"modified":"2023-11-21T00:24:57","modified_gmt":"2023-11-21T00:24:57","slug":"prosedur-permohonan-form-informasi-keberatan","status":"publish","type":"page","link":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/prosedur-permohonan-form-informasi-keberatan\/","title":{"rendered":"Prosedur Permohonan Form Informasi Keberatan"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"32\" class=\"elementor elementor-32\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8d03e75 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8d03e75\" 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-3cf53ac\" data-id=\"3cf53ac\" 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-d802d0d elementor-widget elementor-widget-text-editor\" data-id=\"d802d0d\" data-element_type=\"widget\" data-e-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\t<p>Bagi Pengaju Keberatan informasi diharuskan mengisi formulir pengajuan keberatan informasi yang ada di bawah ini. Tim Informasi &amp; Pengaduan RSUD Brebes akan memproses pengajuan Anda<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d124a26 elementor-widget elementor-widget-shortcode\" data-id=\"d124a26\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-407 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-407\" data-uid=\"6a36672b41596\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-407\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-407 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"407\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a36672b41596\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a36672b41596\" id=\"forminator-field-name-1_6a36672b41596-label\" class=\"forminator-label\">Nama <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a36672b41596\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a36672b41596\" id=\"forminator-field-name-3_6a36672b41596-label\" class=\"forminator-label\">Nomor Identitas Pemohon (KTP\/No. Badan Hukum\/Nomor Induk Mahasiswa) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6a36672b41596\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a36672b41596\" id=\"forminator-field-email-1_6a36672b41596-label\" class=\"forminator-label\">Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Contoh : emailmu@email.com\" id=\"forminator-field-email-1_6a36672b41596\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a36672b41596\" id=\"forminator-field-phone-1_6a36672b41596-label\" class=\"forminator-label\">No.Telephone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Tulis Nomor Telephone Anda\" id=\"forminator-field-phone-1_6a36672b41596\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"ID\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a36672b41596-label\"><span id=\"forminator-radiogroup-radio-1-6a36672b41596-label\" class=\"forminator-label\">Sertakan Identitas Kuasa?<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a36672b41596\" class=\"forminator-radio forminator-radio-inline\" title=\"Ya\"><input type=\"radio\" name=\"radio-1\" value=\"ya\" id=\"forminator-field-radio-1-1-6a36672b41596\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ya<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a36672b41596\" class=\"forminator-radio forminator-radio-inline\" title=\"Tidak\"><input type=\"radio\" name=\"radio-1\" value=\"Tidak\" id=\"forminator-field-radio-1-2-6a36672b41596\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Tidak<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-407__field--select-1_6a36672b41596\" id=\"forminator-form-407__field--select-1_6a36672b41596-label\" class=\"forminator-label\">Alasan Penggajuan Keberatan <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-407__field--select-1_6a36672b41596\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Pilih Alasan Penggajuan Keberatan\" data-search=\"false\" data-search-placeholder=\"Pilih Alasan Penggajuan Keberatan\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-407__field--select-1_6a36672b41596-label\"><option value=\"\"  >Pilih Alasan Penggajuan Keberatan<\/option><option value=\"Permohonan informasi ditolak\"  data-calculation=\"0\">Permohonan informasi ditolak<\/option><option value=\"Informasi berkala tidak disediakan\"  data-calculation=\"0\">Informasi berkala tidak disediakan<\/option><option value=\"Permintaan-informasi-tidak-ditanggapi\"  data-calculation=\"0\">Permintaan informasi tidak ditanggapi<\/option><option value=\"Permintaan-informasi-ditanggapi-tidak-sebagaimana-diminta\"  data-calculation=\"0\">Permintaan informasi ditanggapi tidak sebagaimana diminta<\/option><option value=\"Permintaan-informasi-tidak-dipernuhi\"  data-calculation=\"0\">Permintaan informasi tidak dipernuhi<\/option><option value=\"Biaya-yang-dikenakan-tidak-wajar\"  data-calculation=\"0\">Biaya yang dikenakan tidak wajar<\/option><option value=\"Informasi-disampaikan-melebihi-jangka-waktu-ditentukan\"  data-calculation=\"0\">Informasi disampaikan melebihi jangka waktu ditentukan<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a36672b41596\" id=\"forminator-field-textarea-1_6a36672b41596-label\" class=\"forminator-label\">Tujuan Pengajuan Keberatan <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"Keterangan Tambahan ...\" id=\"forminator-field-textarea-1_6a36672b41596\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a36672b41596\" id=\"forminator-field-upload-1_6a36672b41596-label\" class=\"forminator-label\">Upload Berkas Surat Kuasa<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_6a36672b41596\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_6a36672b41596\" class=\"forminator-input-file forminator-field-upload-1_6a36672b41596-407\" multiple=\"multiple\" data-method=\"ajax\" accept=\".webp,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.rtf,.class,.tar,.zip,.gz,.gzip,.7z,.xla,.xls,.xlt,.xlw,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.ods,.key,.numbers,.jpg,.jpeg,.jpe,.png,.bmp,.gif,.pdf,.mp3,.m4a,.m4b,.wma,.wav,.mp4,.m4v,.3gp,.3gpp\" data-size=\"8000000\" data-size-message=\"Maximum file size allowed is 8 MB. \" data-filetype=\"webp|txt|asc|c|cc|h|srt|csv|tsv|ics|rtx|vtt|rtf|class|tar|zip|gz|gzip|7z|xla|xls|xlt|xlw|xlsx|xlsm|xlsb|xltx|xltm|xlam|pptx|pptm|ppsx|ppsm|potx|potm|ppam|sldx|sldm|ods|key|numbers|jpg|jpeg|jpe|png|bmp|gif|pdf|mp3|m4a|m4b|wma|wav|mp4|m4v|3gp|3gpp\" data-filetype-message=\"file extension is not allowed.\"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-1_6a36672b41596\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-1_6a36672b41596\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a36672b41596-label\"><label id=\"forminator-field-checkbox-1-1-6a36672b41596-label\" for=\"forminator-field-checkbox-1-1-6a36672b41596\" class=\"forminator-checkbox\" title=\"Informasi Yang Saya Masukkan Sudah Benar\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-6a36672b41596\" aria-labelledby=\"forminator-field-checkbox-1-1-6a36672b41596-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Informasi Yang Saya Masukkan Sudah Benar<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Kirim<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"a432deb3ef\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ppid_rsudbrebes\/wp-json\/wp\/v2\/pages\/32\" \/><input type=\"hidden\" name=\"form_id\" value=\"407\"><input type=\"hidden\" name=\"page_id\" value=\"32\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/prosedur-permohonan-form-informasi-keberatan\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_10\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_10\" type=\"text\" name=\"input_10\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Bagi Pengaju Keberatan informasi diharuskan mengisi formulir pengajuan keberatan informasi yang ada di bawah ini. Tim Informasi &amp; Pengaduan RSUD Brebes akan memproses pengajuan Anda<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-32","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/pages\/32","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":5,"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"predecessor-version":[{"id":494,"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/pages\/32\/revisions\/494"}],"wp:attachment":[{"href":"https:\/\/fe.desnet.online\/ppid_rsudbrebes\/wp-json\/wp\/v2\/media?parent=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}