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Please select a Program/Division. |
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( e.g: abc@xyz.com)
Enter a valid Email Address ( e.g: abc@xyz.com). |
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The Rule Violator Name field is required.
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Please select a Violator Type.
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Please describe the potential violation.
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Maximum two attachments allowed. Only files of type TXT, PDF, DOC, DOCX, XLS, or XLSX are allowed. Maximum combined
attachment size 8 mb.
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Only files of type TXT, PDF, DOC, DOCX, XLS, or XLSX are allowed.
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Only files of type TXT, PDF, DOC, DOCX, XLS, or XLSX are allowed.
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*=Required
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