Student Grievance Form - KALKA GROUP OF INSTITUTIONS

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Full Name

Student ID / Enrollment Number*

Mobile Number

Email Id

Course*

Department*

Year/Semester*

Section/Class

Category of Grievance*

Date of Incident*

Location of Incident*

Name(s) of Person(s) Involved (if applicable)

Detailed Description of the Grievance

Have you previously reported this issue?*

To Whom Was It Reported?*

Action Taken (if any)

Upload Supporting Documents (Optional)

What outcome or resolution do you expect?

Do you wish to keep your identity confidential?*

Note: While every effort will be made to maintain confidentiality, disclosure may be necessary if required during the grievance resolution process or under applicable laws.

I declare that the information provided by me is true and accurate to the best of my knowledge. I understand that submitting false or misleading information may result in appropriate disciplinary action. I consent to the institution processing my grievance in accordance with its Student Grievance Redressal Policy.

Admission open 2026-27