FORMULIR KELUHAN INTERNAL

INTERNAL GRIEVANCE


Ditujukan Kepada :
Jenis Keluhan (pilih salah satu) : Etika / Perilaku   Pelayanan   Fasilitas
Lokasi Kejadian :
Tanggal Kejadian :
Uraian Keluhan
Saran / Tindak lanjut

Pelapor :
Tanggal Laporan :
Jam Laporan :
Paraf Pelapor
(Goresan Paraf Dikotak bawah Wajib Mengenai Tanggal Yang berwarna merah)

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Unfortunately, your browser is currently unsupported by our web application. We are sorry for the inconvenience. Please use one of the supported browsers listed below, or fill out a paper Signature release.

Supported browsers:
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