STUDENT GRIEVANCES – Official Website of College of Ayurvedic Pharmasutical Science Joginder Nagar

Student GRIEVANCE form

Student Grievance Form (#5)

First Name

Last Name

Phone/Mobile

Type of Grievance: (Select One)

Academic Issue

Administrative Concerns

Harassment or Discrimination

Facilities and Infrstructure

Date of Incident/Observation:

Location of Incident/Observation:

Description of Grievance:

Upload Relevant Document if Required

Choose File

Please describe your desired outcome or resolution for this grievance:

I would like to receive an acknowledgment of my grievance submission via email:*

Yes

I understand and agree that the information I provide will be treated confidentially and only shared with the relevant authorities for the purpose of resolving my grievance:

Yes

Signature (Type your full name to acknowledge the submission of this form):

By submitting this grievance form, you confirm that the information provided is accurate and true to the best of your knowledge. Misrepresentation of facts may result in further action.