Students Grievance

Student Grievance Declaration Form


Student FirstName *
Student LastName *
Gender *	Female Male
Date of birth *
Email *
Mobile *
Address *
City *
District *
Parent/ Guardian's Name *
Parent/ Guardian's Mobile *
Hall Ticket Number *
Course/Branch *
Year of Study *
Grievance Type *
Grievance Date *
Grievance Description *

“Global Standards Indian Values”

VIGNAN'S INSTITUTE OF MANAGEMENT AND TECHNOLOGY FOR WOMEN
kondapur(V), Ghatkesar(M), Medchal Dist-501301
09652910002/3
Designed & Maintained by S.Sandeep (CSE Dept)

Name :

Gender :

Date of birth :

Email :

Mobile :

City :

Address :

Parent/Guardian's Name :

Parent/Guardian's Mobile :

Hall Ticket No :

Course :

College :

Grievance Type :

Others Grievance Type :

Grievance Date :

Grievance Description :

1. The Student has to submit genuine and correct details. If it is not genuine or correct, the grievance will not be attended to.

2. The grievance will be attended to, only when the details of grievance and applicant are genuine.

Name	:
Gender	:
Date of birth	:
Email	:
Mobile	:
City	:
Address	:
Parent/Guardian's Name	:
Parent/Guardian's Mobile	:
Hall Ticket No	:
Course	:
College	:
Grievance Type	:
Others Grievance Type	:
Grievance Date	:
Grievance Description	: