Complaint Form for Sexual Harassment at Work Place:

Complaintant* :
Email* :
Designation*:
Department*:
Gender*:
Age*:
Aadhaar Number*:
Contact Number*:
Name(s) of Accused/Respondent*:
Department and Designation(s) of Accused/Respondent*:
Working Relationship(s) with Accused/Respondent*:
Place*:
Date and Time of Incident*:
Brief Description of the Incident*:
Proof if any, may be enclosed
Word Verification* :	Type the characters you see in the picture below.

The filled in form may be submitted to President-Internal Complaints Committee-GAD for Necessary action