Kingdom of Saudi Arabia Ministry of Higher Education Majmaa University
College of Computer & Information Sciences
ةيدوعسلا ةيبرعلا ةكلمملا يلاعلا ميلعتلا ةرازو ةعمجملا ةعماج مولع ةيلك تامولعملاو بساحلا
Grievance Request Report
Student Information
Student Name:
Student ID:
Department/Track:
GPA:
Section: ☐ Male ☐ Female Grievance Request:
Course/Department*:
Instructor/Semester**:
* responsible of offering the course
** in which the course, under grievance request, was taken
Case Studying Committee
Committee:
Committee Member Title
1.
2.
3.
4.
5.
Final Recommendations
Final Recommendations:
Committee Signatures
Committee Member Title Signature
1.
2.
3.
4.
5.
Exams Unit FORM NO -