Grievance Box

1. Name of the Student :
*
2. E-mail :
*
3. Phone No :
*
4. Address :
*
5. Category of Merit :
6. Year of Selection (Medhabruti) :
7. Unpaid renewal year :
8. Application ID & Year of application for Medhabruti(If grievance is on fresh selection)
Bank Details provided in the scholarship application at the time of registration
9. Bank A/c No.(As per Medhabrudti Application) :
*
10. IFSC Code :
*
11. Have you changed your Bank Account number or IFSC code after Medhabruti application(Yes/No)
12. Name of the Institute studied/studying :
*
13. Remark :
*
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