Order Number Read the instructions carefully: 1) It is assured that any information given by you will be kept strictly confidential. 2) It is compulsory to fill the information marked with (*) sign. 3) Preview of the form can be seen once you fill and submit the form. 4) Printout of the preview page can be taken for the record purpose. You Are * Student Employee Your Name * Contact No. * Aadhaar No. * Email ID * Give a valid email id for acknowledgement purpose Re Enter Email ID * Select the Check Box Before Submitting * The information I am providing in this form is true, accurate, correct and complete to the best of my knowledge. Enter your Grievance/ Complaint * Recaptcha Submitted Date *
