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