ESTC POLYTECHNIC-RAMNAGAR

Online Grievance

Student Information

Your Full Legal Name

Address

City

State

Postal Code

Phone Number

Information About Your complaint

First Date on Which the events or issue occurdd-MM-yyy

First Date on Which the events or issue occur

Name(s) of the person(s) involved

Please describe your complaint in detail. Include the name of persons, loctation, dates. If this complaint is against specific person(s), please list their names

What attempts have you made resolved this complaint up to now? Please state who you contacted and what transpired?

What do you think the complaint was not able to be resolved in your prior attempts?

What resolution would you consider fair? What resolution do you seek?

Any other information you want be provide?