SIET Ragging and Other Complaints form
SC / ST /OBC / MINORITY CASTE, WOMEN, PHYSICALLY CHALLENGED, RACIAL DISCRIMINATION OR RAGGING INCIDENT COMPLAINT REGISTRATION FORM
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.

** All the data provided here will be maintained confidential. One Complaint per incident should be logged. **
NAME OF THE COMPLAINANT
GENDER *
CATEGORY
Clear selection
STATUS OF COMPLAINANT *
DEPARTMENT / SECTION / WING *
UNIVERSITY REGISTRATION NO. IF STUDENT
MOBILE NUMBER *
EMAIL ID
NATURE OF COMPLAINT *
SHORT DESCRIPTION ABOUT INCIDENT HAPPENED *
DATE OF INCIDENT *
MM
/
DD
/
YYYY
HAVE YOU ALREADY INFORMED TO COLLEGE AUTHORITY? *
ANY SUGGESTIONS YOU WISH TO INCLUDE?
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 Institute of Engineering and Technology, Tumakuru.
Acceptance *
Required
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