Grievance Redressal Form - ADK Junior College

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Application for Redressal of Grievance/s to CGRC

To,

The Chairman,

College Grievance Redressal Cell (CGRC)

Subject: – Application for Redressal of Grievance/s

Respected Sir / Madam,

I / We, am/are hereby forwarding my/our application for Redressal of Grievance/s. Kindly accept it and do the further processing. My/Our Personal Details about my/our grievances are as follows.

Students First Name

Students Middle Name

Students Last Name

Department

Residental Address

Permanent Address

Student's Email

Students Whats App Number

Students Landline Number

Select Faculty

BCOM BMS BSC IT

Select Programme of Study

Under Graduation

Class

First Year Second Year Third Year

Semester

I II III IV V VI

Roll Number

PRN Number (Optional)

P.G. / Ph.D / M.Phil. Registation Number (Optional)

Name of Teachers / Officers / Staf / Sections / Departments against whom the complain has to be lodged

Nature of Grievance/s in which redressal is sought

Attach Supporting Documents

Declaration from the Student's

I / We hereby declare that the above information furnished by me / us is true to best of my / our knowledge. In case if is is turned false I/ We am / are personally responisble for the punishment

Select Date

Place

Upload Digital Signature (Only .jpg and .jpeg files are allowed)

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