Application for Redressal of Grievance/s to CGRC

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To,
The Chairman,
College Grievance Redressal Cell (CGRC),

Subject: Application for Redressal of Grievance/s

Respected Sir/Madam,
I/We am/are hereby forwarding my/our application for Redressal of Grievance/s. Kindly accept it and do the further processing. My/our personal details and particulars about my/our grievances are as follows-

First Name of the Student *

Middle Name of the Student *

Last Name of the Student *

Department *

Residential Address of the Student *

Permanent Address of the Student *

Email of the Student *

Mobile No. of the Student *

WhatsApp No. of the Student *

Landline No. of the Student (If Any) *

Faculty *

Programme of Study *

Class *

Year of Study *

Semester *

Roll No. *

PRN No. *

U.G./P.G./Ph.D./Registration No. *

Name of the Teacher/s / Officer/s / Staff /Section/s / Department/s against whom the Complaint is to be Lodged *

Nature of Grievance/s in which Redressal is Sought *

List of Supporting Documents Attached herewith (Supporting documents to be submitted within 3 days at the following e-mail address: pcerpanvelgrievance@mes.ac.in) *

Declaration from the Student/s. I/We hereby declare that the above information furnished by me/us is true to the best of my/our knowledge. In case if it is turned false I/We am/are personally responsible for the punishment. *

YYYY

Place *

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