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Complaint Form (ICC)
Women's Grievances Redressal Cell
(Internal Complaint Committee- Dr. VPMCH & RC Nashik)
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Section 1- Details of Victim
A 'victim' is a person who has been hurt or taken advantage of.....
Name:
*
Your answer
Age:
*
Your answer
Category
*
Choose
UG Student
PG Student
Intern
Faculty
Non-teaching staff
Designation:
*
Write "NA" if Not Applicable
Your answer
Department:
*
Write "NA" if Not Applicable
Your answer
Contact Number:
*
Your answer
Name of College/Institute:
*
Your answer
Section 2- Details of Respondent
A 'respondent' is a person against whom the aggrieved woman has made a complaint...
Name:
*
Your answer
Age:
*
Your answer
Category
*
Choose
UG Student
PG Student
Intern
Faculty
Non-teaching staff
Designation:
*
Write "NA" if Not Applicable
Your answer
Department:
*
Write "NA" if Not Applicable
Your answer
Contact Number:
Your answer
Name of College/Institute:
*
Your answer
Section 3- Complaint Details:
Complaint Description (not more than 300 words)
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Your answer
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