Ruang Migran

Your Name
Please enter your full name

Gender
MaleFemale

Hometown
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Date of Birth

Address

City
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Your email
please enter your correct email (ex. hello@yourmail.com)

Telephone
Please enter your active phone number

Complainant's Relationship
FatherMotherSiblingFriendother

Victim's Full Name
Please enter the full name

Gender
MaleFemale

Hometown
Please enter the hometown

Date of Birth

Address

City
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Graduate

Passport Number

Name of PPTKIS / COMPANY / AGENCY

Address of of PPTKIS / COMPANY / AGENCY

City of PPTKIS / COMPANY / AGENCY

Name of PPTKIS / COMPANY / AGENCY Leader

Employer Name

Employer Address

Type of Work
Factory WorkersPlantation WorkersConstruction WorkersHousehold WorkersShop WorkersBaby SitterElderly NursesDriversCooks (Chefs)ShipmenOther

Country of Destination / Placement
Saudi ArabiaHong KongMalaysiaKorea SelatanTaiwanJepangSingapuraBrunnei DarussalamUni Emirat Arab (UEA)QatarSyiriaKuwaitAbu DhabiYordaniaBahrainAmerika SerikatNew ZelandTimur LesteIndiaThailandBelandaAfrika SelatanMacauTrinidadLainnya...

Type of Complaint
UnpaidLoss of ContactOver Contract WorkDisconnectionMassage/ViolenceChild RecruitmentForgery/Document ManipulationRapeIncarceratedHuman TraffickingDiedUnilateral LayoffsIllnessDepressionDocument WithholdingEmployment AccidentEscape/Fleeing from EmployerSexual HarassmentExtortion of PersonsFailure to DepartFraudInsurance ClaimsImmunitionTransferredDebt SnareOverchargingLaw in the Placement CountryOther

Problem Chronology
*) Write a clear chronology of the problem, including what, who, where, when, and how the problem occurred.

Demands
*) Write down any demands for handling the problem you are struggling with. Example: Salaries are paid immediately, repatriation to Indonesia, and so on.

Information:

This Indonesian Migrant Workers (PMI) Complaint Data will be integrated or forwarded to the authorities:
- Badan Pelindungan Pekerja Migran Indonesia (BP2MI)
- Kedutaan Besar Republik Indonesia (KBRI)
- Kementerian Luar Negeri Republik Indonesia
- Kementerian Ketenagakerjaan RI

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