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WBS Jamkrida Jakarta
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Nama Pelapor (Opsional)
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Nomor Telepon Pelapor
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Email Pelapor
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Tindakan/Perbuatan yang dilaporkan
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Fraud
Pelanggaran Kode Etik
Pelanggaran Benturan Kepentingan
Pelanggaran Hukum
Lainnya
Nama Terlapor
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Jabatan Terlapor
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Waktu Kejadian (tanggal dan periode)
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Contoh: 5-20 Januari 2023 atau Selama bulan Januari 2023
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Lokasi Kejadian
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Kronologis Kejadian
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Nominal (optional)
tuliskan dalam angka jika ada
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