STUDENT GRIEVANCE FORM
INFORMATION ABOUT THE COMPLAINT
First Name: *
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Last Name *
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USN *
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Branch *
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Semester *
Aadhar ID
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Gender *
Age:
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E-mail ID *
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Contact No: *
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Contact Address *
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City/ Village
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Taluk
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District
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State
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Country
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Pin code
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Current Student Status *
Grievance Against *
Details of Grievances *
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I hereby declare that the above information stated by me is true to the best of my knowledge.
Note: This information will be kept confidential and secrecy will be maintained. But, Complaint processed only if all the information provided is correct.
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