Formulir - Konsultasi Bantuan Hukum [PDF]

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FORMULIR KONSULTASI BANTUAN HUKUM I.



DATA PEMOHON / KLIEN 1. Nama 2. Tempat / Tanggal lahir 3. Jenis Kelamin 4. Kawin / belum kawin / duda / janda 5. Tempat tinggal (Alamat) Kelurahan / Desa Kacamatan Kabupaten / Kota 6. Pendidikan 7. Pekerjaan



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II.



Pelaksanaan konsultasi hukum (tanggal/bulan/tahun) . ................................................................................................................................................. .................................................................................................................................................



III.



Uraian Singkat Pokok Masalah san Latar Belakang. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................



IV.



Nasihat yang diberikan Konsultan termasuk Aspek Yuridisnya. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................



V.



Hasil akhir konsultasi. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................



VI.



Kesan konsultas atas tingkat pengetahuan / kesadaran hukum pemohon. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................



VII.



VIII.



Pemohon / Klien Nama Tandan Tangan



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Konsultan Hukum Nama Tandan Tangan



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..................,.....................................20... Mengetahui,



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