STUDENT GRIEVANCE FORM

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STUDENT GRIEVANCE FORM

STRICTLY CONFIDENTIAL

Email *

Full Name of Student as per College Records (in Block Letters)
*

UUCMS Registration Number *

2 points

Programme *

2 points

B Com

BCA

BBA (Aviation Management)

M Com

Semester *

2 points

First Semester

Second Semester

Third Semester

Fourth Semester

Fifth Semester

Sixth Semester

Type of Complaint (Briefly explain)
*

2 points

Date of Incident
*

2 points

YYYY

Approximate Time
*

2 points

Time

Name of Staff Involved
*

2 points

Witnesses, if any

2 points

Was there any earlier incident like this? *

2 points

Yes

If so, details thereof , staff involved including approximate date

Your answer

2 points

Have you brought this incident to any one’s notice, if so, details thereof

2 points

A copy of your responses will be emailed to the address you provided.

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