Baker College for Women

Name*

Date*

Father's /Guardian's Name*

Program*

Semester*

Email*

Mobile/Phone *

Residential Address *

Permanent Address *

Date, time, and place of event leading to grievances *

Detailed account of occurrence (include names of persons involved, if any) *

State policies, guidelines or procedures you think have been violated *

Proposed solution to grievance *

State previous level of effort undertaken by you at college management level *

State the outcome of above and why that is not acceptable to you *

State why do you think an informal resolution is not possible *

Declaration *

The information that I am submitting here is factual and without any exaggeration.
I Agree

Grievance