KETUA MAHKAMAH AGUNG

REPUBLIK TNDONESIA

PERATURAN INDONESIA
MAHKAMAHAGUNGREPUBLIK
NOMOR: 02 TAHUN2011

TENTANG
TATACARAPENYELESAIAN
SENGKETA
INFORMASI
PUBLIK
DI PENGADILAN

M A H K A M A H A G U N G R E P U B L I KI N D O N E S I A

M e n i m b a n :g a . Keterbukaan
i n f o r m a sm
i e r u p a k a ns a r a n ad a l a m m e n g o p t i m a l k a n
p a r t i s i p a s pi u b l i k t e r h a d a p p e n y e l e n g g a r a anne g a r a d a n b a d a n
p u b l i kl a i n n y ad a n s e g a l as e s u a t uy a n gb e r a k i b apt a d ak e p e n t i n g a n
publik;
b . B a h w aU n d a n g - u n d a nNgo m o rL 4 T a h u n2 0 0 8t e n t a n gK e t e r ; b u k a a n
j e l a sm e n g a t utra t a c a r ap e n y e l e s a i a n
I n f o r m a sPi u b l i kb e l u ms e c a r a
sengketa
i n f o r m a sdi i P e n g a d i l a n ;
c. B a h w au n t u ki t u M a h k a m a h
A g u n gm e m a n d a n pg e r l um e n g a t u tra t a
c a r a p e n y e l e s a i a ns e n g k e t a i n f o r m a s i d i P e n g a d i l a nm e l a l u i
Peraturan
Mahkamah
Agung.

Mengingat: 1 . P a s a l2 4 U n d a n g - u n d a nD
g a s a rT a h u n 1 9 4 5 s e b a g a i m a n a
telah
d i u b a hd a n d i t a m b a hd, e n g a nP e r u b a h aK
n e e m p aTt a h u n2 0 0 2 ;
2 . R e g l e m e nI n d o n e s i ay a n g d i p e r b a r u(i H l R ) ,S t a a t s b l a aN
d omor44
T a h u n l " 9 4 Ld a n R e g l e m e nH u k u mA c a r au n t u k D a e r a hL u a rJ a w a
dan Madura(RBg),
Staatsblaad
Nomor227Tahun1927;
3. U n d a n g - u n d a nNgo m o r L 4 T a h u n1 - 9 8 5s e b a g a i m a ntae l a h d i u b a h
d e n g a nU n d a n g - u n d a nNgo m o r 5 T a h u n 2 0 0 4 t e n t a n g P e r u b a h a n
a t a s U n d a n g - u n d a nNg o m o r 1 4 T a h u n 1 9 8 5 t e n t a n g M a h k a m a h
A g u n gd a n t e r a k h i rd e n g a nU n d a n g - u n d a nNgo m o r 3 T a h u n 2 0 0 9
t e n t a n g P e r u b a h a nK e d u aa t a s U n d a n g - u n d a nNgo m o r L 4 T a h u n
1 9 8 5t e n t a n gM a h k a m a h
Agung;
4. U n d a n g - u n d a nNg o m o r 2 T a h u n 1 - 9 8 6s e b a g a i m a ntae l a h d i u b a h
d e n g a nU n d a n g - u n d a nNgo m o r B T a h u n 2 O O 4t e n t a n g P e r u b a h a n
a t a sU n d a n g - u n d a nNgo m o r2 T a h u nL 9 B 6t e n t a n gP e r a d i l a U
n mum
d a nt e r a k h i rd e n g a nU n d a n g - u n d a n
Ngo m o r4 9 T a h u n2 0 0 9t e n t a n g
 n e d u aa t a sU n d a n g - u n d a nNgo m o r2 T a h u nL 9 8 6t e n t a n g
P e r u b a h aK
P e r a d i l aU
nm u m ;
5. g o m o r 5 T a h u n 1 9 8 6 s e b a g a i m a ntae l a h d i u b a h
u n d a n g - u n d a nN
d e n g a nU n d a n g - u n d a nNgo m o r 9 T a h u n 2 0 0 4 t e n t a n g P e r u b a h a n
a t a s U n d a n g - u n d a nNgo m o r 5 T a h u nL 9 8 6t e n t a n gP e r a d i l a n Tata

U s a h aN e g a r ad a nt e r a k h i rd e n g a nu n d a n g - u n d a nNgo m o r5 l -T a h u n
2 0 0 9t e n t a n gP e r u b a h aKne d u aa t a sU n d a n g - u n d a nNgo m o r5 T a h u n
l - 9 8 6t e n t a n gP e r a d i l aTna t aU s a h aN e g a r a ;
6. U n d a n g - u n d a n gN o m o r L 4 T a h u n 2 0 0 8 t e n t a n g K e t e r b u k a a n
I n f o r m a sPi u b l i kd; a n
7. U n d a n g - u n d a n gN o m o r 4 8 T a h u n 2 0 0 9 t e n t a n g K e k u a s a a n
Kehakiman.

MEMUTUSKAN

I AENN G K E TI N
M e n e t a p k a n : T A T AC A R AP E N Y E L E S AS AF O R M A S Dl
P IU B L I K
PENGADILAN

BABI
K E T E N T U AUNM U M

P a s aLl

M a h k a m a hA g u n gi n i y a n gd i m a k s u d e n g a n :
D a l a mP e r a t u r a n
L . G u g a t a na d a l a hk e b e r a t a ny a n gd i a j u k a no l e h s a l a hs a t u a t a u p a r a p i h a ky a n gs e c a r a
t e r t u l i s m e n y a t a k a nt i d a k m e n e r i m aP u t u s a nK o m i s iI n f o r m a s (i s e l a n j u t n ydai s e b u t
" K e b e r a t a n) ."
2. P u t u s a nK o m i s iI n f o r m a sai d a l a hp u t u s a na j u d i k a sni o n l i t i g a syi a n g d i k e l u a r k a o
nl e h
K o m i s Ii n f o r m a stie r k a i ts e n g k e t a n t a r aB a d a nP u b l i kd a n P e m o h o nI n f o r m a sP
i ublik
l 5 ayat (1) Undang-undang
b e r d a s a r k aanl a s a ns e b a g a i m a ndai m a k s u dd a l a mP a s a 3
t e n t a n gK e t e r b u k a aInn f o r m a sPi u b l i k .
3. K o m i s i I n f o r m a s ia d a l a h l e m b a g as e b a g a i m a n da i m a k s u dd a l a m U n d a n g - u n d a n g
N o m o r1 4 T a h u n2 0 0 8t e n t a n gK e t e r b u k a al n f o r m a sPi u b l i k .
4. I n f o r m a sai d a l a hk e t e r a n g a np,e r n y a t a a ng,a g a s a nd,a nt a n d a - t a n dyaa n gm e n g a n d u n g
n i l a i ,m a k n a ,d a n p e s a n ,b a i k d a t a ,f a k t a m a u p u np e n j e l a s a n n yyaa n g d a p a t d i l i h a t ,
d i d e n g a r ,d a n d i b a c ay a n g d i s a j i k a nd a l a m b e r b a g a ik e m a s a nd a n f o r m a t s e s u a i
d e n g a np e r k e m b a n g atne k n o l o giin f o r m a sdi a n k o m u n i k a ssie c a r ae l e k t r o n i ka t a u p u n
non-elektronik.
5. I n f o r m a sPi u b l i ka d a l a hi n f o r m a syi a n gd i h a s i l k a nd ,i s i m p a nd, i k e l o l ad, i k i r i m d
, an/atau
d i t e r i m ao l e h s u a t uB a d a nP u b l i kN e g a r ad a n B a d a nP u b l i ks e l a i nB a d a nP u b l i kN e g a r a
yang berkaitan dengan penyelenggard
a a n p e n y e l e n g g a r a anne g a r a d a n / a t a u
 r aa n p e n y e l e n g g a r abaand a np u b l i kl a i n n y ay a n gs e s u adi e n g a nU n d a n g -
p e n y e l e n g g ad
i u b l i ks e r t ai n f o r m a s i
u n d a n gN o m o r L 4 T a h u n2 0 0 8t e n t a n gK e t e r b u k a aInn f o r m a sP
l a i ny a n gb e r k a i t a nd e n g a nk e p e n t i n g apnu b l i k .
6. P e m o h o nI n f o r m a s ia d a l a hw a r g a n e g a r ad a n / a t a ub a d a n h u k u m I n d o n e s i ay a n g
m e n g a j u k a np e r m i n t a a ni n f o r m a spi u b l i ks e b a g a i m a ndai a t u r d a l a m U n d a n g - u n d a n g
N o m o r1 4 T a h u n2 0 0 8t e n t a n gK e t e r b u k a aI n f o r m a sPi u b l i k '
7. B a d a nP u b l i ka d a l a hB a d a nP u b l i kN e g a r ad a n B a d a nP u b l i ks e l a i nB a d a nP u b l i kN e g a r a .
B . B a d a nP u b l i kN e g a r aa d a l a hl e m b a g ae k s e k u t i lfe, g i s l a t iyf ,u d i k a t i fd, a n b a d a nl a i ny a n g
f u n g s id a n t u g a sp o k o k n y ab e r k a i t a nd e n g a np e n y e l e n g g a r a n ae n g a r ay, a n gs e b a g i a n
a t a u s e l u r u h d a n a n y ab e r s u m b e rd a r i a n g g a r a np e n d a p a t a nd a n b e l a n j an e g a r a
p e n d a p a t adna n b e l a n j ad a e r a h .
d a n / a t a ua n g g a r a n
9. B a d a nP u b l i ks e l a i nB a d a nP u b l i kN e g a r aa d a l a ha d a l a hB U M N ,B U M D ,o r g a n i s a snio n
p e m e r i n t a hd a n p a r t a i p o l i t i ky a n g s e b a g i a na t a u s e l u r u hd a n a n y ab e r s u m b e rd a r i
d a n b e l a n j an e g a r ad a n / a t a ua n g g a r a np e n d a p a t a n
a n g g a r a np e n d a p a t a n danbelanja
n a s y a r a k adt ,a n / a t a ul u a rn e g e r i .
d a e r a hs, u m b a n g a m
1 0 . P i h a ka d a l a hp i h a k - p i h ayka n gs e m u l ab e r s e n g k e tdai K o m i sIi n f o r m a s yi ,a i t uP e m o h o n
l n f o r m a sdi e n g a nB a d a nP u b l i kN e g a r aa t a uB a d a nP u b l i ks e l a i nB a d a nP u b l i kN e g a r a .
1 1 . H a r ia d a l a hh a r ik e r j a .
1 2 . P e n g a d i l aand a l a hP e n g a d i l aNne g e rai t a uP e n g a d i l aTna t aU s a h aN e g a r a

B A BI I
KEWENANGA
MNE N G A D I L I

P a s a2l

P e n y e l e s a i asne n g k e t ai n f o r m a s id i P e n g a d i l a n
d i l a k u k a no l e h P e r a d i l a nU m u m a t a u
P e r a d i l aTna t aU s a h aN e g a r a .

P a s a3l

S e s u a id e n g a nP a s a l4 7 d a n P a s a l4 8 U n d a n g - u n d a nNgo m o r l - 4 T a h u n 2 0 0 8 t e n t a n g
K e t e r b u k a aln f o r m a sPi u b l i k :
a. Pengadilan
N e g e r ib e r w e n a n gu n t u k m e n g a d i lsi e n g k e t ay a n g d i a j u k a no l e h B a d a n
P u b l i k s e l a i n B a d a n P u b l i k N e g a r ad a n / a t a u P e m o h o n I n f o r m a s iy a n g m e m i n t a
i n f o r m a ski e p a d aB a d a nP u b l i ks e l a i nB a d a nP u b l i kN e g a r a .
b. P e n g a d i l aT
n a t a U s a h aN e g a r ab e r w e n a n gu n t u k m e n g a d i lsi e n g k e t ay a n g d i a j u k a n
oleh Badan Publik Negara dan/atau Pemohonlnformasiyang meminta informasi
k e p a d aB a d a nP u b l i kN e g a r a .
 B A BI I I
TATA CARAPENGAJUANKEBERATAN

P a s a4l

Informasd i apat
( 1 ) S a l a hs a t u a t a u p a r a p i h a k y a n g t i d a k m e n e r i m ap u t u s a nK o m i s i
m e n g a j u k akne b e r a t a ns e c a r at e r t u l i sk e P e n g a d i l ayna n gb e r w e n a n g '
14 (empat
(2) Keberatan s e b a g a i m a ndai m a k s u da y a t( L ) d i a j u k a nd a l a mt e n g g a n gw a k t u
oleh para pihak
b e l a s ) h a r i s e j a k s a l i n a n p u t u s a n K o m i s i I n f o r m a s id i t e r i m a
b e r d a s a r k atna n d ab u k t ip e n e r i m a a n '
( 3 ) D a l a m h a l s a l a h s a t u a t a u p a r a p i h a k t i d a k m e n g a j u k a nk e b e r a t a ns e b a g a i m a n a
tetap'
d i m a k s u da y a t( 2 ) m a k ap u t u s a nK o m i sIin f o r m a sbi e r k e k u a t ahnu k u m

P a s a5l

i a u p u nB a d a nP u b l i k
( 1 ) S e t i a pk e b e r a t a nb, a i k y a n g d i a j u k a no l e h P e m o h o ni n f o r m a sm
d i a j u k a nk e p e n g a d i l a n y a n g w i l a y a hh u k u m n y am e l i p u t it e m p a t k e d u d u k a nB a d a n
Publik.
i amuntempat kedudukan
( 2 ) D a l a m h a l k e b e r a t a nd i a j u k a no l e h P e m o h o nI n f o r m a s n
B a d a n p u b l i k t i d a k b e r a d a d a l a m w i l a y a h h u k u m P e n g a d i l a nt e m p a t k e d i a m a n
yang wilayah
p e m o h o n l n f o r m a s i ,m a k a k e b e r a t a nd a p a t d i a j u k a nk e P e n g a d i l a n
hukumnya meliputi tempat kediaman Pemohon Informasi untuk selanjutnya
diteruskan k e p a d aP e n g a d i l ayna n gb e r s a n g k u t a n '
( 3 ) p e n g a d i l a ny a n g m e n e r i m a p e r m o h o n a ns e b a g a i m a n ad i m a k s u da y a t ( 2 1 w a j i b

m e n g i r i m k akne P e n g a d i l ayna n gb e r w e n a n sge b a g a i m a ndai m a k s u da y a t( 1 " ) '

P a s a6l

( 1 ) S e l a m b a t - l a m b a t n1y4a ( e m p a tb e l a s h ) a r is e j a kk e b e r a t a nd i r e g i s t e d
r i Kepaniteraan
p e n g a d i l a nP, a n i t e r am e m i n t aK o m i slin f o r m a syi a n gm e m u t u sp e r k a r at e r s e b u tu n t u k
serta seluruh berkas
m e n g i r i m k a ns a l i n a n r e s m i p u t u s a n y a n g d i s e n g k e t a k a n
perkaranya.
( Z l K o m i s i I n f o r m a s iw a j i b m e n g i r i m k a np u t u s a n d a n b e r k a s p e r k a r a s e b a g a i m a n a
d i m a k s u da y a t ( 1 ) k e P e n g a d i l a sne l a m b a t - l a m b a t n L
ya4 ( e m p a t b e l a s )h a r i s e j a k
permintaan
diajukan.
( 3 ) T e r m o h o nk e b e r a t a nd a p a t m e n y e r a h k ajna w a b a na t a s k e b e r a t a nk e p a d aP a n i t e r a
P e n g a d i l adna l a mw a k t u3 0 ( t i g ap u l u h )h a r is e j a kk e b e r a t a d
niregister.
g a k t us e b a g a i m a ndai m a k s u d
( 4 ) S e l a m b a t - l a m b a t n3y(at i e a )h a r is e t e l a hl e w a tt e n g g a n w
n e n u n j u kM a j e l i sH a k i mu n t u km e n g a d i lpi e r k a r a .
a y a t( 3 ) ,K e t u aP e n g a d i l am
 BABIV
TATACARAPEMERIKSAAN

P a s a7l

h a n y at e r h a d a pP u t u s a nK o m i s iI n f o r m a s i ,
( 1 ) p e m e r i k s a a dn i l a k u k a ns e c a r as e d e r h a n a
b e r k a sp e r k a r as e r t ap e m o h o n a nk e b e r a t a n d a n j a w a b a na t a sk e b e r a t a nt e r t u l i sd a r i
p a r ap i h a k .
( 2 ) P e m e r i k s a adni l a k u k a tna n p ap r o s e sm e d i a s i '
( 3 ) p e m e r i k s a abnu k t i h a n y ad a p a td i l a k u k a na t a sh a l - h a yl a n g d i b a n t a hs a l a hs a t u a t a u
p a r ap i h a ks e r t aj i k aa d ab u k t ib a r us e l a m ad i p a n d a n pg e r l uo l e hM a j e l i sH a k i m '
(4) Untuk terangnyasuatu perkara,Majelis Hakim dapat memanggilKomisi lnformasi
k e t e r a n g aanp a b i l ad i p e r l u k a n .
u n t u km e m b e r i k a n

P a s a8l

(1) Keberatan
diperiksa t u n g k i nt e r d i r id a r i
d a n d i p u t u so l e hM a j e l i sH a k i my a n gs e d a p a m
y a n gm e m p u n y api e n g e t a h u adni b i d a n gk e t e r b u k a ainn f o r m a s i .
hakim-hakim
( 2 ) p e m e r i k s a a kn e b e r a t a nd i l a k u k a nd a l a ms i d a n gy a n g t e r b u k au n t u k u m u m , k e c u a l i
t e r h a d a pp e m e r i k s a adno k u m e ny a n gb e r i s i k ainn f o r m a syi a n gd i k e c u a l i k a n .
(3) M a j e l i sH a k i mw a j i bm e n j a g ak e r a h a s i a adno k u m e ns e b a g a i m a ndai m a k s u da y a t( 2 ) .
(4) p e m o h o nI n f o r m a sai t a u k u a s a n ytai d a kd a p a tm e l i h a ta t a u m e l a k u k a np e m e r i k s a a n
a y a t( 2 ) .
t e r h a d a pd o k u m e n - d o k u m esne b a g a i m a ndai m a k s u d

P a s a9l
( 1 ) p e n g a d i l a nw a j i b m e m u t u sd a l a mw a k t u p a l i n gl a m b a t6 0 ( e n a m p u l u h ) h a r i s e j a k
M a j e l i sH a k i md i t e t a p k a n .
( 2 ) T e r h a d a pp u t u s a nP e n g a d i l asne b a g a i m a ndai m a k s u dp a d a a y a t ( 1 ) d a p a t d i a j u k a n
k a s a s ik e M a h k a m a hA g u n g d a l a mw a k t u p a l i n gl a m a i . 4 ( e m p a t b e l a s )h a r i s e j a k
p u t u s a nd i u c a p k a dn a l a ms i d a n gt e r b u k au n t u ku m u ma p a b i l ap a r ap i h a kh a d i ra t a ul - 4
( e m p a tb e l a s )h a r i s e j a ki s i a t a u a m a rp u t u s a nd i b e r i t a h u k akne p a d ap a r ap i h a ko l e h
J u r u s i t au n t u k s e n g k e t ad i P e n g a d i l a Nn e g e r i ,a t a u s e j a k p e m b e r i t a h u a np u t u s a n
d i k i r i m k a nm e l a l u p a i P e n g a d i l aTna t aU s a h aN e g a r a .
i o su n t u ks e n g k e t d
( 3 ) M a h k a m a hA g u n gw a j i bm e m u t u sd a l a mw a k t up a l i n gl a m b a t3 0 ( t i g ap u l u h )h a r is e j a k
M a j e l i sH a k i md i t e t a p k a n .
 BABV
PUTUSAN

Pasall-0

( 1 ) P u t u s adn i u c a p k adna l a ms i d a n gy a n gt e r b u k au n t u ku m u m '

( 2 ) p u t u s a nP e n g a d i l a n
d a p a t b e r u p am e m b a t a l k a n a t a u m e n g u a t k a np u t u s a nK o m i s i
l n f o r m a s id e n g a n m e r u j u k p a d a P a s a l4 9 U n d a n g - u n d a nNg o m o r 1 4 T a h u n 2 0 0 8
t e n t a n gK e t e r b u k a aInn f o r m a sPi u b l i k '

BABVI
PUTUSAN
PELAKSANAAN

P a s a1l 1

P u t u s a nP e n g a d i l ayna n gt e l a hb e r k e k u a t ahnu k u mt e t a pd i l a k s a n a k asne s u adi e n g a n

h u k u ma c a r ay a n gb e r l a k ud i m a s i n g - m a s i n n g k u n g apne r a d i l a n .
lig

P a s a1l 2

( 1 ) P u t u s a nK o m i s li n f o r m a syi a n gb e r k e k u a t ahnu k u mt e t a pd a p a td i m i n t a k a np e n e t a p a n
e k s e k u skie p a d aK e t u aP e n g a d i l ayna n gb e r w e n a nogl e hP e m o h o nI n f o r m a s i .
(2\ Permohonau n k s e k u ssie b a g a i m a ndai m a k s u da y a t( L )
n n t u k m e n d a p a t k apne n e t a p a e
d e n g a nm e n g a j u k apne r m o h o n atne r t u l i sd e n g a nm e l a m p i r k asna l i n a nr e s m i
dilakukan
p u t u s a nK o m i s Ii n f o r m a syi a n gt e l a hb e r k e k u a t ahnu k u mt e t a pt e r s e b u tk e P e n g a d i l a n
d a l a mw i l a y a hh u k u mB a d a nP u b l i ks e b a g a i T e r m o h oEnk s e k u s i .
( 3 ) K e t u aP e n g a d i l a m
n e n g a b u l k aant a u m e n o l a kp e m b e r i a np e n e t a p a ne k s e k u sdi a l a m
w a k t up a l i n gl a m b a t7 ( t u j u h )h a r i .
( 4 ) P e n e t a p a ne k s e k u ssi e b a g a i m a ndai m a k s u da y a t ( 1 ) d i b u a t s e s u a id e n g a nf o r m a t
s e b a g a i m a nt ear l a m p idr a l a mP e r a t u r ai n i .
( 5 ) P u t u s a nK o m i s iI n f o r m a syi a n gt e l a h m e n d a p a t k apne n e t a p a ne k s e k u sdi i l a k s a n a k a n
b e r d a s a r k apne r i n t a hK e t u aP e n g a d i l asne s u adi e n g a nP a s a1l - i " .

B A BV I I
KETENTUANPERALIHAN

P a s a1l 3

( 1 ) T e r h a d a ps e n g k e t ai n f o r m a s iy a n g t e l a h d i d a f t a r k a nk e P e n g a d i l a n a m u n b e l u m
diperikso d a l a mp e r a t u r a ni n i .
a l e h m a j e l i sh a k i mb e r l a k uk e t e n t u a n
( 2 ) T e r h a d a pp u t u s a nK o m i s il n f o r m a syi a n g t e l a h d i p u t u sn a m u n b e l u m d i l a k s a n a k a n
d a p a td i m i n t a k a np e n e t a p a e
n k s e k u ssie b a g a i m a ndai a t u rd a l a mp e r a t u r a ni n i .

B A BV I I I
K E T E N T U APN
ENUTUP

P a s aLl 4

K e t e n t u a nh u k u m a c a r ap e r d a t ad a n t a t a u s a h aN e g a r at e t a p b e r l a k us e p a n j a n gt i d a k
d i t e n t u k a nl a i n d a l a m U n d a n g - u n d a nNg omor 14 Tahun 2008 tentang Keterbukaan
I n f o r m a sPi u b l i kd a n p e r a t u r a nM a h k a m a h
A g u n gi n i .

P a s aLl 5

Peraturan
i n i m u l a ib e r l a k up a d at a n g g adl i t e t a p k a n .

Ditetapkan DI JAKARTA
Padatanggal 29 NOVEMBER
2011

AHKAMAHAGUNG
INDONESIA

A. TUMPA
 LAMPIRAN
PERMAMAHKAMAHAGUNGRI
NO.02 TAHUN2011

PENETAPAN
Nomor:

"DEMIKEADILAN
BERDASARKAN
KETUHANAN
YANGMAHAESA"

Kami, Ketua Pengadilan Negeri/PengadilanTata Usaha Negara (nama pengadilan

Negeri/PengodiIan Toto IJsoha Negara) :

Membacasurat permohonantertanggal(tanggal,bulon dan tahun)

dari : (nama pemohon
Eksekusi), beralamatdi (alomat,kecomoton,kobupoten/koto),selanjutnyadisebut
sebagai
P e m o h o n E k s e k u s i ,y a n g p a d a p o k o k n y a t e l a h m e m o h o n
kepada pengadilan
Negeri/Pengadilan Tata usaha Negara (noma PengadilanNegeri/pengodilanTata
usaha
Negara) untuk memerintahkanpelaksanaanputusan/eksekuatur
atas putusan Komisi
lnformasi (Noma Komisi lnformasi)Nomor : (nomor putusan
Komisi lnformosi dimaksud),
tertanggal(tanggol,bulan dan tahun),dalamperkaraantara
:

(nama),sebagaipemohonEksekusi
;

lawan :

(namo),sebagai
TermohonEksekusi
;

M e m b a c ap u l a:

P u t u s a nK o m i s Ii n f o r m a sN
i o m o r : ( n o m o rPutusanKomisi tnformosi
dimaksud),tertanggal
(tanggal,bulan don tahun)dan surat_surat lainyangberhubungan denganperkaratersebut
di atas;

Menimbang, bahwa Putusan Komisi Informasi

tersebut di atas telah
d i d a f t a r k a n / d i s i m p adnigK e p a n i t e r a aPne n g a d i l a n
Negeri/pengadila
T na t a U s a h aN e g a r a
(namo Pengadilon NegeriPengadilon
Negeri/PengadilanToto usoha Negora)pada
hari:
(hari' tonggol, bulon don tahun),terdaftar
di bawah Nomor : (nomor registerpermohonan
penetopon);
 M e n i m b a n g ,b a h w a a m a r P u t u s a nK o m i s iI n f o r m a s i
t e r s e b u t b e r b u n y is e b a g a i
berikut

M E M U T U S K A: N

1,. (amor putusan Komisitnformasi);

2. (dst)

M e m p e r h a t i k a n k e t e n t u a n - k e t e n t u aunu Nomor 1.4 Tahun 20og tentang

K e t e r b u k a aInn f o r m a sPi u b l i kd a n p e r a t u r a n - p e r a t u r a n
l a i ny a n gb e r h u b u n g adne n g a ni t u ;

M E N E T A P K A: N

M e n g a b u l k apne r m o h o n a n
p e m o h o nE k s e k u tsei r s e b u t
di atas;

Menyatakanbahwa PutusanKomisi Informasi

Nomor : (nomor putusan Komisi
lnformosidimaksudl,tertanggar(tonggor,
burondan tohun)dapatdiraksanakan;

Demikian ditetapkan di ....(wilayahPengodilon

Negeri/pengadilanTota IJsaho
Negaro)' oleh Kami : (nomo Ketua Pengadilan
Negeripengodilan Negeri/pengaditonTato
usoho Negora)KetuaPengadilan Negeri/Pengadilan
Tata UsahaNegara(namo pengadilan
Negeri/Pengadilan
Toto rJsohaNegora),padatanggar : (tanggal,
burandan tahun).

KETUAPENGADILAN
NEGERI/PENGADILAN
TATAUSAHANEGARA
(namo pengadilanNegeri)

(Noma Ketuo pengadilon

Negeri/PengadilanTota tJsahaNegoro)

NIP: