First Name (Required)

Middle Name

Last Name (Required)

Street Address

Postal Address

Home Number

Work Number

Cell Number

Email (Required)

I am a:
StudentInstructor/Faculty/TeacherAdministrative StaffSupport StaffParentOther

If you selected 'Other', please explain:

Briefly state the general nature of the complaint

Briefly describe related timeline of events related to the complaint

Which of NAECOB's quality and assurance standards is underpinned within the complaint?
Mission and GoalsHuman ResourcesStudent Services & Co-Curricular ActivitiesEducational ProgrammesFinancial ResourcesLearning ResourcesGovernance & AdministrationStrategic Planning & Institutional EffectivenessPhysical Resources & InfrastructureProgramme & Institutional Outcomes Report

Clearly identify the specific sentence or paragraph under one of the NAECOB's quality and assurance standard(s) that may suggest a violation or may indicate noncompliance by the institution:

List the steps that you, the individual, have taken to resolve the matter to date. Ensure to attach corresponding evidence-based documents in support of these steps. Documents must be relevant to complaint and a provable fact(s).

Upload Supporting Documents (if any)

Upload Supporting Documents (if any)

Upload Supporting Documents (if any)

Upload Supporting Documents (if any)

Briefly explain the resolution that is being sought:

DECLARATION STATEMENT
I have read NAECOB's 'Complaint Policy Overview' and fully understand the formal complaint process, protocols, and boundaries.
I authorize NAECOB to share my complaint and supporting documents with the institution involved.
I hereby declare that all information contained in this Complaint Form is, to my knowledge, true and correct.

Signature (Complainant)

Date

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