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Online Complaint Form for Caste Based Discrimination at Workplace
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* Indicates required question
Full Name:
*
Your answer
Age:
*
Your answer
Gender:
*
Male
Female
Prefer not to say
Other:
Category:
*
Scheduled Caste
Scheduled Tribe
Other Backward Class
Designation:
*
Student
Faculty Member
Non-Teaching Staff
Class/Department/Office
*
Your answer
Contact Address
*
Your answer
Mobile Number:
*
Your answer
E-mail address:
*
Your answer
Person(s) against whom the complaint is being lodged
Full Name:
*
Your answer
Department/Office
*
Your answer
Contact Address
Your answer
Mobile Number
Your answer
Email address
Your answer
Brief Description of the grievance
*
Your answer
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