Anandi Pharmacy College

Grievance Form

First Name*

Last Name*

Select Roles*

Student ID Number*

Phone*

Email*

This email address will be used to send you an email confirmation including a copy of your responses when you click the "submit" button below.

Address*

Street Address**

City*

State / Province / Region*

ZIP / Postal Code*

When did this happen?*

Please describe this incident, concern or complaint:*

Please list the names of individuals you have already spoken to or met with in an attempt to resolve this issue (see steps 2-3 above).*

I acknowledge that by submitting this form, I am providing representatives of Anandi pharmacy college with the authority to review and secure any and all of my student records in order to appropriately resolve this grievance.

info@anandipharmacy.ac.in

0231 - 2440030

info@anandipharmacy.ac.in

ANANDI
PHARMACY COLLEGE

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