Formulir Keluhan Mahasiswa
FORMULIR LAYANAN KELUHAN MAHASISWA
Nama
: ______________________________________________________
No BP
: ______________________________________________________
Prodi
: ______________________________________________________
Bermaksud menyampaikan keluhan sebagai berikut:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Akibat dari kondisi diatas, saya merasa dirugikan antara lain:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Demikian dilaporkan untuk diperhatikan dan ditindak lanjuti.
Padang,
Mahasiswa,
____________________________________
Nama
: ______________________________________________________
No BP
: ______________________________________________________
Prodi
: ______________________________________________________
Bermaksud menyampaikan keluhan sebagai berikut:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Akibat dari kondisi diatas, saya merasa dirugikan antara lain:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Demikian dilaporkan untuk diperhatikan dan ditindak lanjuti.
Padang,
Mahasiswa,
____________________________________