COMPLAINT REGISTRATION FORM 1 Start 2 Preview 3 Complete The University of Dar es Salaam takes staff and customer complaints of unethical or unfair conduct as serious matters. So that we may properly investigate your concern, you are requested to fill out this form as completely as possible. After a prompt and through investigation into your complaint, you will be notified of the University's intended action. Should you have any questions about the process, please set them forth at the end of this form and we'll do our best to answer them. Thank you. Would you like to make this complaint anonymously? * Yes No Name * Position * PART II College/ School/ Institute/ Directorate/ Department * Gender * Male Female Nature of Complaint * Harassment Discrimination Unfair conduct Unprofessional conduct Corruption Other (Please explain) * Please describe in as much detail as possible the nature of your complaint. Please provide or identify all known persons, documents and witnesses to your concerns: * Upload evidence: * (File size should not exceed 4MB and should be in PDF, JPG, PNG and MP3 format)Files must be less than 2 MB.Allowed file types: jpg jpeg png pdf mp3. Please describe how the actions you complain about have affected your ability to perform your job: * Please describe any positive solutions you believe can help resolve your complaint: * Please provide email address if you wish to receive feedback about complaint Email: I declare that the facts set forth in this complaint form are true and accurate pursuant to the penalty of perjury under the laws of the Country.