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Complaint form
Initials:
First name:
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Middle name:
Last name:
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Faculty / Education:
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Biomedical Sciences Bachelor's programme
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Student & Academic Affairs Office
Student Services
Utrecht University
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Student number:
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If you do not have a student account, please fill in another email address.
Student email address UU:
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Repeat email address:
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Telephone number:
Name or position of the person you are complaining about. (maximum 250 characters)
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N.B.: Be aware of that the complaint will be shared with the person or service to which the complaint relates to.
Description of your complaint. Please describe clearly and briefly the nature of your complaint and the time and place where the incident took place. (maximum 250 characters)
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Do you have a suggestion for a possible solution to your complaint? (maximum 250 characters)
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Have you tried discussing this complaint with the person or persons directly involved?
If so, how and with whom? (maximum 250 characters)
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Have you already submitted this complaint elsewhere? If so, where? (maximum 250 characters)
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Attachment:
Add a file concerning the complaint, e.g. mail exchange with defendant.
After submitting the complaint, more documents can be submitted through the portal.
Date:
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dd/mm/yyyy
More information about how Utrecht University handles your personal data can be found at
www.uu.nl/privacy
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