Student Grievance Form

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Student Grievance Form

* Indicates required question

Student Name *

Your answer

Enrollment No. *

Your answer

Course / Class *

Your answer

Semester *

First

Second

Third

Fourth

Session *

Your answer

Mobile No. *

Your answer

E-mail *

Your answer

Area of Grievance *

Academic

Non- Academic

Date of the Problem or Incident *

MM

/

DD

/

YYYY

Description of the Problem / Incident *

Your answer

Has the Problem been reported *

Yes

No

Submit

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