Grievance / Suggestions Form

• Name*
  
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  Last
• Mobile Number*
• Email*
  
• Address*
  
  Street Address
  
  City
  
  
  ZIP / Postal Code
  
• Student Category*(E.g. OBC, NT, SC)
• Scheme Name*(E.g. EBC)
• Type Academic Year*(E.g. 2019-2020)
• Your Comment/Message*
• Upload Screenshot (If any)Accepted file types: jpg, png.Maximum Size Allowed: 1MB
  Image formats allowed: JPG, PNG