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Bhausaheb Mulak Ayurved College & Research Hospital, Butibori
Grievance Redressal
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Name
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Your answer
Email ID
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Your answer
Contact No
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Your answer
Affiliation
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Teacher
Student
Staff
Other
Type of Grievance
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Academic
Administrative
Harassment
Discrimination
Other
Date of Incidence
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MM
/
DD
/
YYYY
Description of Grievance
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Your answer
Location
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Your answer
Persons Involved (if any)
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Your answer
Have you reported the grievance to any one else? If yes please provide the details
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Your answer
Preferred Resolution or Action
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Declaration
I hereby declare that the information provided above is true to the best of my knowledge.
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