Indraprastha Institute of Pharmacy

Student Grievance Form

Personal Details

Full Name

Father Name

Course

E-mail ID

Mobile No.

Gender

Address

City

Grievance Details

Grievance Category

Other Grievance Category (*If Applicable)

Grievance Description (maximum 150 words)

Proposed Solution (Optional)

Proposed Solution (maximum 50 words)

Declaration

I hereby declare that the information provided above is correct. I shall be responsible for furnishing any wrong information/document.
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