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Formulir Pelaporan Gratifikasi dan Pungli
Silakan isi formulir di bawah ini untuk melaporkan dugaan praktik gratifikasi dan pungli. Laporan Anda akan dirahasiakan dan diteruskan kepada pihak berwenang untuk ditindaklanjuti.
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Jenis Gratifikasi/Pungli
*
Your answer
Kelas/Umum
*
X
XI
XII
Masyarakat
Nama Pelapor (Inisial)
Your answer
Tempat Kejadian
*
Your answer
Waktu Kejadian
MM
/
DD
/
YYYY
Oknum Terlibat
*
Your answer
Kronologi Kejadian
*
Your answer
Bukti (link foto)
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