University of Delhi

Student Grievance Form

Personal Details

Full Name

E-mail ID

Gender

Mobile No.

Enrolment Number

Department

Select Center

Course

Present Address

Address

Mobile No.

State

Pin Code

Permanent Address

Address

Mobile No.

State

Pin Code

Grievance Details

Grievance Category

Other Grievance Category (*If Applicable)

Grievance Description (maximum 150 words)

Want to Upload Document ?

Upload Document(if Yes) (File Type: pdf, png, jpg, jpeg, doc, docx. File Size: 500KB)

Proposed Solution (Optional)

Proposed Solution (maximum 50 words)

Declaration

I hereby declare that the information/document provided above is correct. I shall be responsible for furnishing any wrong information/document.

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