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Complaint on Discrimination / Ragging
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Your Name ( Don't Worry it will not be revealed out to anybody )
*
Your answer
Email
*
Your answer
Class & Department
*
Your answer
Phone number
Your answer
Was it Ragging ?
Yes
No
Maybe
Clear selection
Describe the Incident associated with your complaint on Ragging.( Mention Date, Time, Place, People involved and Happenings Etc.,)
Your answer
If it is discrimination, Name of person you believe discriminated against you
Your answer
What is the basis of the alleged discrimination? (Circle only those that apply to your complaint)
Age
Color
Disability
Sexual Orientation
Marital Status
Race
Sex (gender)
Ancestry
Creed
Genetic Information
Religion
National Origin
Describe the Issues associated with your complaint.
Your answer
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