Write your association with GLBIMR (Mention Student or Employee):
If You are a student then enter your Admission No.:
If You an Employee then enter your Employee Code.:
Enter your Mobile No.:
Enter your Email ID.:
Grievance Related to the Department:
Type your grievance: (Max 150 words):
Note: If you are not able to fill the form, then please write your grievance on a piece of paper and submit it to the chairperson or member of the concerned committee.