AT- INDAPAHI, P.O- LAXMIPOSI, BARIPADA
(06792) 256842 (Off), 256845 (Fax), Mob - +91-9437039228
Home
Profile
Director's Message
Governing Body
Courses
Courses we Offered
Scope
Academic
Admission
Academic Calendar
Achievers
Faculty
Downloads
Accrediation
PCI Approval
Govt of Odisha Affiliation
OUHS Approval
Placement
About Placement
Placement Committee
Our Recruiters
Industrial & Hospital Training
Committee
Grievance Committee
Grievance Form
Anti Ragging Cell
Women Harassment Cell
Gender Sensitization
icc-cell
Facilities
Gallery
Photo Gallery
Video Gallery
Contact
Grievance Form
Home
Grievance Form
Grievance / Complaint Form
Nursing College
Please fill accurate details. Fields marked * are required.
Personal Details
Full Name
Student / Employee ID
Department
Course
Select Course
B.Pharm
D.Pharm
Other
Year of Study
Select Year
1st Year
2nd Year
3rd Year
4th Year
Contact Number
We may contact you for clarification.
Email Address
Hostel Resident
No
Yes
Preferred Mode of Response
Email
Phone
In-person
Confidential?
Yes
No
Grievance Details
Nature of Grievance
Academic
Administrative
Facilities
Disciplinary
Ragging/Harassment
Financial/Fees
Other
Choose the most relevant category.
Sub-Category
Select based on category
Auto-updates when you change “Nature of Grievance”.
Date of Incident
Time of Incident
Location
Select
Classroom
Hostel
Library
Lab
Office
Canteen
Other
Persons Involved (if any)
Impact Level
Low
Medium
High
Expected Resolution Time
1 week
2 weeks
1 month
Description of Grievance
Previous Attempts to Resolve
Desired Outcome
Supporting Documents (optional)
You can attach up to 3 files. Allowed: JPG, PNG, PDF, DOC, DOCX. Max 5MB each.
I declare the information is true and correct. I understand that false information may lead to dismissal of the grievance.
📝 Submit Grievance
