Complaint against Sexual Harassment
This form can be filled by both employees and students who feel themselves as victimized of gender based violence (both physically and mentally) within the college campus.
Please feel free to write in  details about the incident. Your name and other personal details will be kept confidential.
Sign in to Google to save your progress. Learn more
Email *
Name of the victims *
Email ID *
Contact No. *
Whether Employee or Student *
Gender *
Name of the person/persons against whom you want to lodge complain (write in details) *
Please briefly describe the nature of your complaint. Include all details that you believe are relevant. *
Are there any witnesses to the incidents described above? If so, please list their names. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms