7/18/2019 Form Permohonan Data

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FORM PERMOHONAN DATA

Saya yang bertandatangan di bawah ini :

Nama : ..........................................................................................................................................

Instansi/Persahaan : ..........................................................................................................................................

 A!amat : ..........................................................................................................................................Te!".#ant$r : ..........................................................................................................................................

Te!"/HP : ..........................................................................................................................................

Menga%&an Perm$h$nan Data :

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DATA I#'IM (AN) DIMINTA

*. In+$rmasi I&!im Arg$ Indstri

  a. Ana!isis dan Pra&iraan H%an ,!anan

  b. Pra&iraan Msim #emara

  -. Pra&iraan Msim H%an

  d. Ana!isis I&!im

. In+$rmasi Mete$r$!$gi nt& #e"er!an #!aim Ansransi

0. H%an

  a. 1rah H%an

  b. Hari H%an

  -. H%an Ma&simm

2. Sh dara

  a. Ma&simm Abs$!t

  b. Minimm Abs$!t

  -. Rata3rata Abs$!t

4. Te&anan dara

5. #e!emba"an dara 6Rh7

  a. Ma&simm  b. Minimm

  -. Rata3rata

8. Matahari

  a. 'ama Penyinaran

  b. Intensitas

9. Penga"an

  a. OP Rata3rata

  b. P1 Rata3rata

. Angin

  a. DDR 6Arah Angin Rata3rata7

  b. DD; 6Arah Angin Ma&sima!7

  -. FFR 6#e-e"atan Angin Rata3rata7  d. FF; 6#e-e"atan Angin Ma&sima!7

*<. #a!itas dara

  a. #imia Air H%an Minggan

  b. #imia Air H%an ,!anan

  -. Ss"ended Parti-a!ate Matters 6SPM7 Minggan

=7 'ing&ari sesai data yang diminta

,an%arbar> ...........................................................

(ang Me!ayani Data> (ang Mem$h$n Data>

6.................................................7 6....................................................7

NIP.