Language
English (UK)
Indonesian
Incident Report
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To whom do you want to report the incident?
Executive Director, Yuda Dilianzia
Secretary, Board of Executive, Kiki Zakiah
Incident Report
Name
*
How do you wish to be contacted?
*
Email
Mobile phone
Email
*
Mobile phone
*
Incident
Please Select
Conflict of interest
Discrimination
Gratification/corruption
Harassment/bullying
Privacy/data protection
Name of the alleged person
*
When did it happen?
*
-
Year
-
Month
Day
Where did it happen?
*
Event
*
Please Select
Docs by the Sea
Film screening/discussion
Impact Lab
In-Docs meeting
What happened?
Please describe the incidents and/or behaviors
Do you have a desired outcome or solution to the reported incident?
If so, please describe it
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