Student Grievance Form

Please fill out this form to report any grievances or concerns you may have. Your feedback is important to us.

Full Name *

First Name

Last Name

Student ID *

Email *

example@example.com

Phone number *

Please enter a valid phone number.

Date of Incident

Date

Select State *

Select City *

Select Branch *

Type of Grievance *

Description of Grievance *

Want to Upload Document? *

Yes

Upload Documents *

Have you reported this grievance before? *

Yes

Please provide details about the previous report. *

Desired Outcome/Solution