Grievance Redressal Form

Gitarattan International Business School, New Delhi

GRIEVANCE REDRESSAL FORM

Student Name :

Enrollment No .

Course :

Section :

Contact :

Date :

Category of Grievance: (Please Tick Mark on following which one is appropriate)

Grievance Details: Please write inside the box. (Attach extra sheet, if required)

FOR OFFICE USE ONLY

Grievance Application Registration No :

Date ofReceipt:

Time

Name of the Receiver :

Signature of the Receiver :

Date of Resolution of Grievance :

Forwarded to :

Forwarded by :

Date :

Observation / Recommendation

Date :

Signature of the Observer :

Action Taken

Signature of the Coordinator:

Signature of the Director :

Date :

Date :

Satisfied with the Resolution:

Yes No

Signature of the Student :

Date:Time