Student Complaint Form
Your Name
Your answer
College Roll N
Your answer
Class-Sem
Your answer
Mailing Address
Your answer
Contact No.
Your answer
Email-ID
Your answer
Email-ID
Your answer
INFORMATION ABOUT YOUR COMPLAINT
First date on which the events or issues occurred
Your answer
Name(s) of the persons involved
Your answer
Please describe your complaint in detail. Include the names of persons, locations, and dates involved. Use additional sheets if you need more space. If this complaint is against specific person(s), please list their names and titles
Your answer
Any other information you want to provide?
Your answer
I hereby certify that the above information is true and correct to the best of my knowledge and belief. I grant permission for this complaint to be forwarded to SRCEM grievance committee officials for purposes of investigation and response.
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