Central University of Himachal Pradesh

हिमाचल प्रदेश केन्द्रीय विश्वविद्यालय
CENTRAL UNIVERSITY OF HIMACHAL PRADESH

पोस्ट बॉक्स नं.- 21, धर्मशाला, जिला - कांगड़ा, हिमाचल प्रदेश – 176 215
DHARAMSHALA, DISTRICT KANGRA, HIMACHAL PRADESH – 176215

Grievance Form

Name of the Student / Teaching Faculty / Non-Teaching*
Type of the Student / Teaching Faculty / Non-Teaching*
Gender*   
Category*
Mobile Number* (+91)
Email*
Is it the first grievance for you or previously did you have gave a complaint?    If No: Then Pls Give Previously Grievance Id
Is it a group discrimination or by individual.
Group members Name 1 Group members Name 2 Group members Name 3
Individual
On what the grievance is made.
Student: Name Roll No. Dept.
Teaching Staff: Name Dept. Designation Emp.Code
Non Teaching Staff: Name Section/Office Designation Emp.Code
What type of grievance:
When it was happened Date: Time Place
Is it within the Institution/Campus    If Yes: Where in Classroom or Outside
Is there any witness of the incidence:
Name Designation ID.No./Roll No./Emp.Code Dept./Section /Office
Campus Office , Dharamshala, Dist. Kangra, Himachal Pradesh - 176215, India
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