ICT - MUMBAI

Grievance Form

Fields mark with * is mandatory.

First Name *

Middle Name *

Last Name *

Department *

Email *

Mobile No *

Whatsup No *

Landline No

Residential Address

Permanent Address

Faculty

Arts

Science

Program of Study *

Class

Year *

Semester

Roll No *

PRN No

PG/Ph.D/M.Phil Registration No

Name of Teacher/s/Officer/s/Staff/Section/s/Departments againts whom the complaint is to be lodgeed *

Nature of grievance/s in which redressal is sought

List of supporting documents

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