JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Grievance Redressal Cell
Complaint Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Select
*
Choose
Student
Staff
Name
*
Your answer
Enrollment No/ Roll No
(Only for Student)
Your answer
Department
*
Your answer
Contact No.
*
Your answer
Complain Details
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chhatrapati Shivaji Institute of Technology and Pharmacy, Durg, Chattisgarh.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report