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SEXUAL HARASSMENT COMPLAINT FORM
Name of the Complainant
Full Name :
Phone Number :
Email Id :
Name of Respondent
Full Name :
Department :
Statement of events provided by complainant / Reporting person
Detailed statement of the incident, including dates, places, and names if witnesses

Internal Committee for Sexual Harassment of Women at Workplace

Name Email Phone Number
Dr Monika Parmar(Professor) drmonanegi@gmail.com 70181-56745
Dr Shalini (PHD Psychology) Shaliniddhadwa l@gmail.com 94184- 58460
Dr Shruti Sambyal (Assistant Professor, Oral Medicine and Diagnostic Radiology) drshrutisambyal @gmail.com 86269- 90280
Dr Arun Singh Thakur (Professor, Public Health Dentistry) drathakur1983 @gmail.com 82195- 49618
Dr Sonak Sharma (MO Dental) docsonaksharm a@gmail.com 70189- 69320
Mrs Sushma Chandel (Dental Hygienist) sushmachandel 977@gmail.co m 94189- 81109
Mrs. Deepika Chauhan (Staff Nurse) myrachauhan6 99@gmail.com 86289- 81801