Grievance Redressal (CBD)

Date *//

Name *

First

Last

Email *

Roll Number *

Branch *

Year and Semester *

Phone *

Date of Incident *//

Where Incident Took Place *

Person(s) Against Whom Complaint is Being Lodged *

Details of the Person(s) *

Others

Nature of Discrimination/Complaint *

For admission and other queries!

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