Caste Discrimination

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Name of the Complainant in Block Letter *

For Student Department/Course

For Student Registration/Roll No.

For Faculity/Non Teaching Staff

For Faculty Designation/Emp. Id. No.

Address

Mobile Number *

Email *

Descrimination Pertains (SC/ST/OBC)

Nature of Complaint (In Brief with Details)

Date Time & Place of the Incidence

Details of the witness of the incident (If any)

Number of Attachment of Evidences (If any)

GDCN: GDCN Yol