Student Grievance Form
* Indicates required question
Student Name *
Your answer
Enrollment No. *
Your answer
Course / Class *
Your answer
Year *
Session *
Your answer
Mobile No. *
Your answer
E-mail *
Your answer
Area of Grievance *
Date of the Problem or Incident *
MM
/
DD
/
YYYY
Description of the Problem / Incident *
Your answer
 Has the Problem been reported *
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