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