Please enable JavaScript in your browser to complete this form.Name of the Complainant in Block Letter *For Student Department/CourseFor Student Registration/Roll No.For Faculity/Non Teaching StaffFor Faculty Designation/Emp. Id. No. AddressMobile Number *Email *Descrimination Pertains (SC/ST/OBC)Nature of Complaint (In Brief with Details)Date Time & Place of the IncidenceDetails of the witness of the incident (If any)Number of Attachment of Evidences (If any)Submit