Government Engineering College, Modasa
GRIEVANCE CELL
Student Grievance Form
Personal Information
Student Full Name
Enrollment Number
Student Contact Number
Gender
-- Select Gender --
Male
Female
Category
-- Select Category --
Open
Open-EWS
SC
ST
SEBC
Father's Name
Academic Details
Semester
-- Select Sem --
1
2
3
4
5
6
7
8
Branch
-- Select Branch --
Computer Engineering
Information Technology
Electronics & Communication
Civil Engineering
Automobile Engineering
Mechanical Engineering
Electrical Engineering
Grievance Details
Grievance Category
-- Select --
Caste Discrimination
Student Ragging
Sexual Harassment
Grievance Description
Submit Application