FORMULIR LAYANAN KELUHAN MAHASISWA
Nama : ______________________________________________________
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,