Grievance Redressal Form
(As per NMC Guidelines)
Confidential – To be submitted to the Grievance Redressal Committee
Name
*
Please enter your name.
Role (Student / Faculty / Staff / Other)
*
Select Role
Student
Faculty
Staff
Other
Please select your role.
Department / Student Batch
*
Please enter your department or student batch.
Contact No.
*
Please enter a valid contact number.
Email ID
*
Please enter a valid email address.
Nature of Grievance
*
FINANCIAL ISSUES (FEES / Stipend / Salary)
Disciplinary matters
Health and Safety concerns
Academic issues
Administrative issues
Hostel/ Canteen related issues
Work place related issues
Harassment related issues (Ragging/ Sexual / Discrimination)
Any others
Details of Grievance
*
Please provide details of your grievance.
*
I declare that the information provided above is true to the best of my knowledge.
You must agree to the declaration.
Date
Submit