Student Grievance Form
NAME:
GENDER:
Male
Female
Transgender
DOB:
HALL TICKET:
EMAIL:
MOBILE NO:
ADDRESS:
PARENT/GUARDIAN NAME:
PARENT/GUARDIAN MOBILE NO:
COURSE:
CSE
CSM
ECE
EEE
Mechanical
Civil
CSC
AIDS
MBA
IT
YEAR OF STUDY:
1 Year
2 Year
3 Year
4 Year
GRIEVANCE TYPE:
Academic
Non Academic
Grievances related to assessment
Grievance related to victimization
Grievance related to charging of fees
Grievances regarding conduct of examination
Harassment by colleague, students or the teachers etc
Harassment of women at workplace
Harassment of SC/ST students, faculty or non-teaching staff
Grievance regarding resources required
Grievances regarding establishment section, library and other sections of institute
SUPPORTING DOCUMENT TYPE (jpeg, jpg, png, gif, doc, pdf, docx, webp, txt, zip, mp4, avi, mov):
GRIEVANCE DESCRIPTION (COMMENT BOX):
GRIEVANCE REGISTRATION
