Public Information Service Request

Online Information Request

Please complete the form below according to Law No. 14 of 2008. PPID Universitas Nusantara will process and respond to your request within 10 working days.

Applicant Identity

Choose applicant type and provide official identification details.

Applicant Category *

Full Name / Institution Name *

ID Number (NIK / Passport / Reg No) *

Email Address *Status notifications and softcopies will be sent here.

Phone / WhatsApp Number *

Complete Residential / Office Address *

Upload ID Card / Deed (KTP/Passport/Akta)

Click to select file or drag here

Format JPG, PNG, atau PDF (Maks. 5 MB)

Information Requested & Purpose

Specify clearly the public information you require and its intended use.

Information Details Requested *

Purpose of Information Use *

Way to Obtain Information *

Delivery Method *

Verification Code (CAPTCHA)*

Case-insensitive. Click reload if the text is hard to read.

By submitting this request, I declare that the data provided is truthful and valid. I agree that the information obtained will only be used according to the declared purpose and will not violate the provisions of laws and regulations.

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