STUDENT GRIEVANCE FORM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please submit any of the grievances.

Email *

Student Name *

Institute / Department *

Registration No. *

Programme *

Semester *

Session *

Mobile No. *

E-mail ID *

Area of Grievance *

Date of Incidence of the problem *

YYYY

Description of the problem *

Has the problem been reported earlier *

Yes

If yes, then action taken (if any) *

Cause of dissatisfaction and Description of appeal *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of SIKSHA 'O' ANUSANDHAN.