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Student Grievance Form

Name of the Complainant:


Department & Position (Applicable for Staff only):

Class & Roll Number (Applicable for Students only):

Mobile Number:

Email Address:

Address for Correspondance:


Grievance Against:

Type of Grievance:                                                                                                                  

Grievance Occuring Date:                                                                                                     

Detailed Narrative of the Grievance to be addressed (Maximum 500 words):   

Root Cause of the Grievance: