STUDENTS GRIEVANCE FORM

Name of the Grievant:

Address of Grievant

Mobile no.

Email ID

Faculty Name

PRN No.

Year of Study

Semester

Name(s) of Party or person (s) against whom grievanceis being filed.

Name or type of Grievances –include the date(s) of incident(s)

Name(s) & Address(s) of any witness –(If applicable)

I here by declare that the information furnished by me is true. In case it is found false, I am personally responsible for punishment.

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