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IT Complaints Form
This form will be used for any IT related issues/ queries/ help required
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* Indicates required question
Email
*
Your email
Name of the complainant
*
Your answer
Contact number of complainant
*
Please enter 10 digit Mobile number
Your answer
Department
*
Choose
Anatomy
Anestheosiology
Biochemistry
Community and Family Medicine
Dentistry
Dermatology
ENT
Endocrinology and Metabolism
Forensic Medicine and Toxicology
General Medicine
General Surgery
Hospital Administration
Microbiology
Obsterics and Gynocology
Ophthalmology
Orthopaedics
Pathology
Pediatrics
Pharmacology
Physical Medicine and Rehabilitation
Physiology
Psychiatry
Radiodiagnosis
Radiotherapy
Transfusion Medicine and Hemotherapy
Finance and Accounts
Dean Office
MS Office
Engineering (Civil,Electrical)
Hostel
MSSO
Rheumatology and clinical immunology
Others
Others ( Department Name)
Your answer
Location
*
Name of the building , Room Number
Your answer
Asset Type
*
Desktop
Printer
Other:
Asset Serial Number
Your answer
Describe the issue which you are facing
*
Your answer
Send me a copy of my responses.
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