Language
Hindi
Central University of Haryana
Intranet Complaint Form
Full Name:
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Prefix
First Name
Last Name
Father Name
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Category
*
Employee
Student
Building
*
Department:
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E-mail:
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Phone No.
*
Problem Category:
*
Computer
Email
Network
Phone
Other
Please specify
*
Snap Shot of problem
Date
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Month
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Day
Year
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Comment and Questions:
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