Minority Cell  
Complaint Format 
Shri shivaji Science & Arts College, Chikhli Dist. Buldana (MS) 443201 
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1) Name of the Complainant ( Student/Academic Staff/Non-teaching Staff)  *
2) Age of the Complainant  *
3) Phone number of the Complainant *
4) E-mail of the omplainant  *
5) Name of the person against whom the Complaint has been lodged  *
6) Address & Designation of the person against whom the Complaint has been lodged  *
7) Phone number of the person against whom the Complaint has been lodged  *
8) E-mail  of the person against whom the Complaint has been lodged  *
9) The Complaint ( In Short)  *
10) Additional Details of the Complaint may be recoreded here.  *
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