Grievance Registration | GLS University

Name :*

University Enrolment No/Id :*

Faculty/Programme/Year/Semester :*

Gender :*

Male

Female

Parent/Student

Parent

Student

Phone

Apply For: *

Date of Occurrence

Note: Must be filed within 5 working days

Have you discussed this issue with your Mentor and/or HoD/Director/Dean?

Yes

Not applicable

Mentor’s/HoD’s/Director’s/Dean’s Name:

Phone:

(Any one)

Issue of Grievance: (Describe what happened, when and where, how your student experience has been affected, and indicate the names of others involved. Attach any supporting documentation with the hard copy to be submitted to the concerned faculty.)

Action Requested: Indicate the action(s) that would resolve your grievance.

Academic Related	Extension & Extra-curricular
Amenities & Maintenance	Placements & Internships
General Administration	Other related issues

Grievance Registration Form

Appendix 1

1. Grievant’s Profile

2. Grievance Details: Nature of Grievance