SC / ST /OBC / MINORITY CASTE, WOMEN, PHYSICALLY CHALLENGED, RACIAL DISCRIMINATION OR RAGGING INCIDENT COMPLAINT REGISTRATION FORM
All the data provided here will be maintained confidential. One Complaint per incident should be logged.
Points to Remember
Anybody can register a complaint of Ragging. It does not have to be only the victim. If you notice an incidence of Ragging With-in our college premises or college Hostel / Mess / Boundary, you must inform the Principal of the college. It is your duty to do so. You may also register a complaint of Ragging - Anonymously. You must, however, avoid this option because without knowing details it becomes difficult to take any action. We can assure you of confidentiality.

Ragging Related Circulars by UGC
NAME OF THE COMPLAINANT
Your answer
GENDER *
CATEGORY
STATUS OF COMPLAINANT *
DEPARTMENT / SECTION / WING *
Your answer
UNIVERSITY REGISTRATION NO. IF STUDENT
Your answer
MOBILE NUMBER *
Your answer
EMAIL ID
Your answer
NATURE OF COMPLAINT *
SHORT DESCRIPTION ABOUT INCIDENT HAPPENED *
Your answer
DATE OF INCIDENT *
MM
/
DD
/
YYYY
HAVE YOU ALREADY INFORMED TO COLLEGE AUTHORITY? *
ANY SUGGESTIONS YOU WISH TO INCLUDE?
Your answer
Declaration:
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it. I hereby authorize sharing of the information furnished on this form with the Shridevi College of Physiotherapy, Tumakuru.
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