Student Grievance Declaration Form Student Grievance Declaration Form Please enable JavaScript in your browser to complete this form.Name *FirstLastGender *MaleFemale Date of birthEmail *Address * Hall Ticket Number Course/Branch *BTECHMTECHDIPLOMAYear of StudyGrievance Type *Non-Conduct of classworkCollecting Extra Fees against Govt./University normsDemanding tution fee if discontinued in the middleNon-Availability of Faculty MembersCollecting amount under any other head not duly prescribed by Govt/UniversityAdmissions related issueGender Discrimination/Harassment/Abusing/MisbehaviourLack of Facilities in CollegeWithholding of certificatesOtherMy complaint is that:You can make it up to me by:If my complaint isn't addressed, I'll be forced to:Submit