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INTERNAL QUALITY ASSURANCE CELL
STUDENT GRIEVANCE FORM
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Name
Your answer
Email ID
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School
*
Your answer
Program
*
Your answer
Course/Class
*
Your answer
Batch/Year
*
Your answer
Area of Grievance
*
Academic
Administrative
Duration/Date of the Problem Or Incident
*
MM
/
DD
/
YYYY
Description of the Problem Or Incident
*
Your answer
10.
Has the Problem/Grievance been reported already
*
Yes
No
Action taken, if Any
*
Your answer
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