Grievance Form

We value your feedback and are committed to addressing your concerns.
Please fill in the detials below to submit your grievance

1. Personal Information

I am filling this grievacen as a *

Faculty

Student

Others/Outsiders

Name: *

Pin Number: *

Email ID *

Mobile No. *

Department / Course *

2. Grievance Details

Grievance Category *

Nature of grievance *

Title of Grievance / Subject *

Grievance Description *

Note:

Please provide accurate and complete information.
Your grievance will be reviewed by the concerned authority
Your will be notified about the status via email
For urgent matters, contact the administration office

3. Declaration

I hereby declare that the information provided above is true and correct to the best of my knowledge.
I understand that providing false information may lead to disciplinary action

ANDHRA POLYTECHNIC, KAKINADA

AFFILIATED TO DEPARTMENT OF HIGHER EDUCATION

Grievance Form

1. Personal Information

2. Grievance Details

Note:

3. Declaration