Complaint of Sexual Harassment

Complaint of Sexual Harassment


Complainant’s Name:  ..............................................................................                                 

Femal      Male      Student       Staff      Faculty     




Mailing Address:                                               


Telephone No:                                            

Mobil no:                                                    

Email:                                                           

Date and Place Incident Occurred:                

Respondent(s): Person(s) against whom the complaint is being filed

Femal      Male      Student       Staff      Faculty     

Name:

Name:

Action Requested: What action are you requesting to resolve the situation?