Student Grievance Form

    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

    Declaration from the student/s
    I / We hereby declare that the above information furnished by me/ us is true to the best of my/ our knowledge. In case if it is turned false. I/we am/are personally responsible for the punishment.

    Date:

    Place:

    Signature of the Student’s*