GVMITM Faculty Grievance form
This form is to be used to submit a grievance Teaching Faculty have been unable to satisfactorily resolve with the Other faculty members , staff, students, or others involved. Please complete all fields so your grievance can be reviewed.

Grievances may be submitted anonymously; however, unless you include your contact information, we will be unable to investigate your grievance or respond back to you regarding the subject matter and/or next steps
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Name of The Faculty
Department Name
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Designation
Date of Incident/ Situation *
MM
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DD
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YYYY
Nature of Grievance *
If this is a grievance against a specific person(s), please list their names and titles
PLEASE EXPLAIN YOUR grievance (Provide a concise statement of the action or inaction giving rise to the grievance. Include the date(s) of the action or inaction and the name of the respondent responsible) *
I hereby declare that the information provided above is correct. I shall be responsible for furnishing any wrong information. *
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