Formulir Keluhan Mahasiswa

FORMULIR LAYANAN KELUHAN MAHASISWA
Nama

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No BP

: ______________________________________________________

Prodi

: ______________________________________________________

Bermaksud menyampaikan keluhan sebagai berikut:
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Akibat dari kondisi diatas, saya merasa dirugikan antara lain:
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Demikian dilaporkan untuk diperhatikan dan ditindak lanjuti.

Padang,
Mahasiswa,

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