STUDENT GRIEVANCE

Personal Details

Name
E-mail ID
Gender
Mobile No
Reg ID
Department
Course

Present Address

Address
Mobile No
State
Pin Code

Permanent Address

Address
Mobile No
State
Pin Code

Grievance Details

Grievance Category
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Grievance Description (maximum 150 words)

Declaration

I hereby declare that the information/document provided above is correct. I shall be responsible for furnishing any wrong information/document.
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