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FORMULIR PENGADUAN PERLINDUNGAN MAHASISWA
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Nama Lengkap
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Nomor Induk Mahasiswa (NIM)
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Jenis Kelamin
Laki-Laki
Perempuan
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Nomor Telepon/WhatsApp
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Alamat Email
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Status Pelapor
Korban
Saksi
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Pihak lain, sebutkan: .....................................
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