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- [b]Your in-game name(WITH TAGS):[/b]
- [b]Your account name:[/b]
- [b]Your ingame group:[/b]
- [b]Your ingame squad:[/b]
- [b]Your MTA serial [i](required)[/i]:[/b]
- [b]The rule(s) this player has broken:[/b]
- [b]Name of the complained player(s)[Case Sensitive]:[/b]
- [b]Around what time did this incident occur? (Include time-zone & date):[/b]
- [b]Detailed explanation of what happened:[/b]
- [b]What language is used (if any):[/b]
- [b]Proof (Full-screen screenshots or videos):[/b]
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