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Form Pengaduan Perundungan (Bullying)

Home/Form Pengaduan Perundungan (Bullying)

Form Pengaduan Perundungan (Bullying)admin2019-05-31T08:53:05+00:00

Data Pelapor

Nama (required)
Hubungan dengan dilaporkan (required)
Email (required)

Data Korban

Nama Kejadian (required)
Nama Korban (required)
Nama Sekolah (required)
Alamat Sekolah (required)

Pengaduan

Masalah yang Dihadapi (required)
Kronologis Kejadian (required)
Upaya yang telah dilakukan (required)

Lampiran

Lampiran 1 (gambar jpg)
Lampiran 2 (gambar jpg)
Lampiran 3 (pdf)

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Donasi

Jika Anda ingin berpartisipasi untuk kegiatan Rumah Aspirasi Sally Azaria dapat memberikan donasi ke Rekening BCA cabang Rungkut Tengah, no rekening 6750-369-799 atas nama Sally Azaria.

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This Is A Custom Widget

This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.