JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Online grievance redressal system
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Date of Complaint
MM
/
DD
/
YYYY
Name
Your answer
Category
Student
Guardian
Faculty
Others
Clear selection
Department
Your answer
Email
Your answer
Contact Number
Your answer
Details of the person(s) against whom the complaint to be lodged
Your answer
Description of each incidents of alleged harassment with date, time, location & other Details
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
