This Student Grievance Form provides guidance for students in following the grievance process for academic and non-academic grievances, and complaints of unlawful discrimination or unfair treatment. Use this form to document your grievance.Student Personal DetailsName of the StudentInput Student NameRegistration No.Input Student Registration No.Email addressexample@selvamtech.comMobile No.Valid 10 Digit No.GenderMaleFemaleTransgenderDepartmentCSEECEEEEMECHCIVILBIOTECHMBAMCAITYearFirst YearSecond YearPre-Final YearFinal YearGrievance ColumnIn the space below, state your grievance. Be as specific as possible. If this is an academic grievance (including a grade appeal), please give the faculty’s name, and department.Respondente.g. Mr. XXX / AP / YYY DeptThe Person against whom the grievance is made, kindly mention the department of the respondent.Please indicate the type of grievanceAcademicNon-AcademicDiscriminationAcademic GrievanceType of Academic Grievance AssignmentLecturing Problem SolvingMotivatingFacilitatingLeadershipCareer DevelopmentOthersNon-Academic GrievanceType of Non-Academic GrievanceTransportHostel (accommodation / food)SportsLibraryOthersDiscriminationType of Discrimination RaggingSexual Harassment DemotivationRacial / ReligiousPartialityState your GrievanceWrite your grievance hereBe as specific as possible. If this is an academic grievance(including a grade appeal), please give the faculty's name and course.Please state the remedy you are seekingIf you are confused leave this space blankIf you are confused leave this space blankType the charactersSendThis field should be left blank
