Grievance Redressal Form

Name of the Student *

Roll Number / Register Number *

Email Address *

Contact Number *

Course and Year *

Brief Title of the Grievance *

Type of Grievance *

AcademicAdministrativeInfrastructure-relatedHarassment or DiscriminationFaculty-relatedPeer-relatedHostel/Mess-relatedExamination/AssessmentOther

Detailed Description of the Grievance *

If yes, to whom and what was the response? *

What outcome or resolution are you expecting? *

Any suggestions to improve grievance redressal at the institution? *

Have you reported this issue to anyone previously?*

YesNo

Would you prefer your identity to remain confidential? *

YesNo

Upload any supporting documents or evidence

Declaration

I hereby declare that the information provided is true to the best of my knowledge and belief.