Student Grievance Form

Full Name	E-mail ID Email cannot be blank.
Gender	Mobile No.
Enrolment Number
Department	Course

Address

State

Pin Code

Grievance Category

Grievance Description (maximum 150 words)

I hereby declare that the information/document provided above is correct. I shall be responsible for furnishing any wrong information/document.

Please check the box

DIVINE INTERNATIONAL GROUP OF INSTITUTIONS(DIGI)

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