Complaint Submission Form

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The request/problem you describe below contains sensitive personal data:
I declare that, before submitting this request/complaint, I have already contacted the following orally to resolve it:
The complaint concerns:
I understand that, following the written submission of this request/complaint, the KEDIVIM procedure for handling trainee requests/complaints will be followed, and I am available to take part in the mediation process for its resolution.
I hereby declare that: