P.D.E.A's Annasaheb Magar Mahavidyalaya Hadapsar, Pune - 411028 Cell for prevention of sexual harassment. Internal Complaints Committee (ICC).
Application for complaint against Sexual Harassment.("The Sexual Harassment of women in workplace"; Prevention, Prohibition, and redressal act- 2013,  University Grants Commission "Prevention, Prohibition, and Redressal of sexual harassment of women employees and students in higher educational institutions Regulations-2015. )
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Full Name (start with surname) *
Age *
Address *
Mobile NO. *
E-mail id  *
Date of Complaint *
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Date or period of Incidence *
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Class or Designation  *
Name of the act of Sexual Harassment  *
Name of the person against whom complaint is raised
 ( person alleged)
Mobile No. of alleged person(s)
Designation / Class of the person alleged 
 Address of the person alleged 
Description of complaint *
Person(s) who witnessed the incidence, if any
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