Student Grievance

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Student Grievance Form

Student Name * : Enter Your Name
PRN No * : Enter Your PRN No
Mobile No * : Enter Your Mobile Number
E-mail * : Enter Your Enail Address
Course / Class * : Enter Course / Class
Semester * : Enter Semester
Area of Grievance * :
Academic Administrative Select Area of Grievanc
Has Problem been reported * :
Yes No Select problem reported status
Duration/Date of the Problem * : Enter Date of the Problem
Description of the Problem / Incident * : Enter Description of the Problem
Action Taken or Outcome of the Report * : Enter Action Taken Report