This Online Anti- Caste Discrimination Grievance Form provides a platform for students to report on any unlawful discrimination or unfair treatment against fellow students, faculty and staff of Rahman Institute of Nursing and Paramedical Sciences

Student Personal Details

Name of the Student:

Student ID:

Mobile No: *

Email ID:

Gender:  Select Male Female Others

Course:  Select GNM B.Sc. Nursing M.Sc. Nursing

Years:  Select 1st Year 2nd Year 3rd Year 4th Year

Department:  Select Pharmaceutics Pharmaceutical Chemistry Pharmacology Pharmacognosy Others

Subject:  Select Pharmaceutics Pharmaceutical Chemistry (Organic and Inorganic) Pharmacognosy Biochemistry Pathophysiology Human Anatomy and Physiology Health Education and Community Pharmacy Pharmacology and Toxicology Drug Store and Business Management Hospital and Clinical Pharmacy Pharmaceutical Analysis Communication Skills Remedial Biology/ Remedial Mathematics Environmental Science Computer Application in Pharmacy Physical Pharmaceutics Pharmaceutical Microbiology Pharmaceutical Engineering Medical Chemistry Phytochemistry Others *

Grievance Column

Please indicate the type of grievance:  Select Academic Non-Academic Discrimination *

Academic Grievance:  Select Lecturing Problem Solving Motivating Facilitating Leadership Career Development Others *

Name of the person complaint is against :

Department:

Non-Academic Grievance:  Select Transport Hostel (accommodation / food) Sports Library Others *

Discrimination:  Select Ragging Demotivation Racial/ Religious Partiality Others *

Describe the incident in detail :  *

State the measures/ actions to be taken:  *

The Sum of ( 9+2 ):  *

 

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