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Anti-Ragging Complaint Form
Form for registration of complaints against ragging and related offenses if any occurring at PRCA, Loni
* Indicates required question
Email
*
Record my email address with my response
Name of the complainant (the one registering the complaint)
*
Your answer
Mobile No.
*
Your answer
Class to which complainant belongs
*
Choose
Fifth Year
Fourth Year
Third Year
Second Year
First Year
Name of offender/offenders (against whom complaint is to be registered)
*
Your answer
Class to which Offenders belongs
*
Choose
Fifth Year
Fourth Year
Third Year
Second Year
First Year
Description about the act of ragging incident.
*
Your answer
Place where the incident took place?
*
Your answer
Date when the incident took place.
*
MM
/
DD
/
YYYY
Time when the incident took place.
*
Time
:
AM
PM
Submit
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This form was created inside of Pravara Rural Education Society,Pravaranagar.
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