Student Grievances

* is indicated for all mandatory fields.

Respected Sir/ Madam,
I / We am / are hereby forwarding my / our application for redressal of Grievance/s. Kindly accept it and do the further processing. My/our personal details and particulars about my/our grievance are follows:

    Name*

    Department*

    Faculty

    Residential Address of the Student

    Permanent Address of the Student*

    Email*

    Mobile No.*

    WhatsApp No.

    Landline No.

    Programme of Study*

    Class*

    Semester

    Roll No*

    PRN No.

    P.G. / Ph.D. / M.Phil. Registration No.

    Name of the Teacher/s / Officer/s / Staff / Section/s / Department/s against whom the Complaint is to be Lodged*

    Add Other Students/ More Students detail, if more no. of Students Applying for Redressal of Grievance

    Nature of Grievance/s in which Redressal is Sought
    WrittenUpload File

    List of Supporting Documents

    Date:

    Place:

    Signature of the Student’s*

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