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Anti-Ragging Complaint Form
Thank you for using this form to report incidents of ragging or to provide information to prevent ragging in our institution. Please fill out the form as accurately as possible.
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Email
*
Record my email address with my response
Full Name
*
Your answer
Department
*
EXTC
ECS
IT
CMPS
FE
CIVIL
MECHANICAL
Gender
*
Male
Female
Email Address
*
Your answer
Mobile Number
Your answer
Date and Time of Incident
MM
/
DD
/
YYYY
Location of Incident
Your answer
Describe the Incident
Your answer
Any additional details or information that can help with the investigation or prevention efforts:
Your answer
Do you wish to remain anonymous?
Yes
No
Clear selection
If yes, please ensure you have provided sufficient information in the earlier sections for the authorities to take action without revealing your identity.
Your answer
By submitting this form, I confirm that the information provided is accurate to the best of my knowledge, and I understand that false reporting may have consequences.
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Option 1
Required
Send me a copy of my responses.
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