Name of the Complainant

Gender (required)
malefemaleothers

Department & Position (Applicable for Staff only)

Roll Number (Applicable for Students only)

Mobile Number (required)

Your Email (required)

Address for Correspondance

Category

Type of Grievance:
General GrievanceRagging GrievanceWomen Grievance

Grievance Occuring Date:(dd/mm/yyyy)

Full Detailed Narrative of the Grievance to be addressed (Not more than 500 words):

Root Cause of the Grievance:

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