{"id":6501,"date":"2023-06-01T16:34:12","date_gmt":"2023-06-01T09:34:12","guid":{"rendered":"https:\/\/xtsquare.co.id\/?p=6501"},"modified":"2025-08-20T16:46:22","modified_gmt":"2025-08-20T09:46:22","slug":"formulir-pengajuan-keberatan","status":"publish","type":"post","link":"https:\/\/xtsquare.co.id\/?p=6501","title":{"rendered":"Formulir Pengajuan Keberatan"},"content":{"rendered":"\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\">Terhadap permohonan informasi yang diajukan, Stakeholder dapat mempertimbangkan apakah puas terhadap jawaban atas pengaduan yang diterima.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jika stakeholder puas, maka pengaduan telah terselesaikan dengan baik. Namun jika stakeholder merasa tidak puas atas informasi yang didapat, maka dapat mengajukan keberatan kepada atasan PPID, untuk selanjutnya Atasan PPID akan menyiapkan jawaban atas keberatan informasi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pengajuan keberetan atas informasi dapat diunduh melalui link dibawah ini.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/xtsquare.co.id\/wp-content\/uploads\/2025\/08\/Formulir-Keberatan-PPID-PTJV.pdf\">Download Formulir Pengajuan Keberatan<\/a><\/div>\n<\/div>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-f36f4a65-3837-4953-b5de-fab8c1eb28eb\" id=\"wpforms-6475\"><form id=\"wpforms-form-6475\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6475\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F6501\" data-token=\"e2200defcfb4c9f7eb1fc45258ed5a54\" data-token-time=\"1783196089\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-6475-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_0\">Nama Pemohon <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6475-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" required><\/div><div id=\"wpforms-6475-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_10\">Nomor Identitas (KTP\/SIM\/Paspor) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6475-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" placeholder=\"34012345678909876\" required><\/div><div id=\"wpforms-6475-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_3\">Alamat <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6475-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div>\t\t<div id=\"wpforms-6475-field_4-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"4\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-6475-field_4\" >Keberatan Informasi Keberatan<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-6475-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-6475-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_6\">Telepon <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6475-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" placeholder=\"+6281234567890\" required><\/div><div id=\"wpforms-6475-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6475-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-6475-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_13\">Pekerjaan<\/label><input type=\"text\" id=\"wpforms-6475-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-6475-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_11\">Tanggal Permohonana Informasi<\/label><input type=\"text\" id=\"wpforms-6475-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" value=\"07\/05\/2026\" placeholder=\"08\/25\/2025\" ><\/div><div id=\"wpforms-6475-field_15-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Alasan Pengajuan Keberatan<\/label><ul id=\"wpforms-6475-field_15\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Permohonan informasi ditolak\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_1\">Permohonan informasi ditolak<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_2\" name=\"wpforms[fields][15][]\" value=\"Informasi tidak disediakan\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_2\">Informasi tidak disediakan<\/label><\/li><li class=\"choice-3 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_3\" name=\"wpforms[fields][15][]\" value=\"Tidak ditanggapinya permohonan informasi\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_3\">Tidak ditanggapinya permohonan informasi<\/label><\/li><li class=\"choice-7 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_7\" name=\"wpforms[fields][15][]\" value=\"Penyampaian informasi melebihi jangka waktu\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_7\">Penyampaian informasi melebihi jangka waktu<\/label><\/li><li class=\"choice-6 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_6\" name=\"wpforms[fields][15][]\" value=\"Biaya yang dikenakan tidak wajar\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_6\">Biaya yang dikenakan tidak wajar<\/label><\/li><li class=\"choice-5 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_5\" name=\"wpforms[fields][15][]\" value=\"Informasi yang diberikan tidak sesuai diminta\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_5\">Informasi yang diberikan tidak sesuai diminta<\/label><\/li><li class=\"choice-4 depth-1 wpforms-selected\"><input type=\"checkbox\" id=\"wpforms-6475-field_15_4\" name=\"wpforms[fields][15][]\" value=\"Alasan lainnya\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_15_4\">Alasan lainnya<\/label><\/li><\/ul><\/div><div id=\"wpforms-6475-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-6475-field_2\">Alasan lainnya <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-6475-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><\/div><div id=\"wpforms-6475-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Pernyataan Pemohon Keberatan<\/label><ul id=\"wpforms-6475-field_8\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6475-field_8_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Saya menyatakan bahwa data yang saya berikan adalah benar dan bersedia mematuhi ketentuan peraturan perundang-undangan yang berlaku.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6475-field_8_1\">Saya menyatakan bahwa data yang saya berikan adalah benar dan bersedia mematuhi ketentuan peraturan perundang-undangan yang berlaku.<\/label><\/li><\/ul><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-6475-field_4-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-6475-field_4-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-6475-field_4-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"6475\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/posts\/6501\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6475\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xtsquare.co.id\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Terhadap permohonan informasi yang diajukan, Stakeholder dapat mempertimbangkan apakah puas terhadap jawaban atas pengaduan yang diterima. Jika stakeholder puas, maka pengaduan telah terselesaikan dengan baik. Namun jika stakeholder merasa tidak puas atas informasi yang didapat, maka dapat mengajukan keberatan kepada atasan PPID, untuk selanjutnya Atasan PPID akan menyiapkan jawaban atas [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6501","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/posts\/6501","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6501"}],"version-history":[{"count":2,"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/posts\/6501\/revisions"}],"predecessor-version":[{"id":6511,"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=\/wp\/v2\/posts\/6501\/revisions\/6511"}],"wp:attachment":[{"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6501"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6501"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/xtsquare.co.id\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}