First Name * First Name is Required Middle Name * Middle Name is Required Last Name * Last Name is Required College ID : * College ID is Required Class/Department : * Department is Required Semester : * (For Students Only) Mobile Number : * Mobile No is Required Email ID : * Email Id is Required Year of Admission : * (For Students Only) Complaint : * (Maximum limit - 400 words) Those who are unable to write in english , can upload/attach the soft copy of their complaint with caste certificate Details of Complaint is Required Upload Caste Certificate : * Attach Caste Certificate (in PDF only) : Maximum file size is 1 MB only. Only PDF files are allowed! Declaration : * I hereby declare that the information filled above is true & correct and I shall be responsible if anything is found false or incorrect.