Student Grievance Redressal Form 1. Student Details Name of the Student Roll Number MBA Year/Semester Batch Mobile Number Email ID 2. Nature of Grievance Academic Issues Examination & Evaluation Attendance Faculty Related Infrastructure/Facilities Library/Lab Issues Harassment/Discrimination Administrative Issues Placement & Internship Fees/Scholarship Others 3. Details of the Grievance Date of Incident Department/Person Concerned Description of the Grievance 4. Previous Action Taken Reported to Class Mentor Reported to Faculty Reported to HOD No Prior Complaint Details, if any 5. Expected Resolution/Suggestion Expected Resolution/Suggestion 6. Supporting Documents Attached Yes No If yes, specify Declaration I hereby declare that the information provided above is true to the best of my knowledge. I understand that the grievance will be reviewed confidentially by the Grievance Redressal Committee. Submit
