Employee's Grievance

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Control # ___________________

Employee’s Grievance Form


Employee Name Emp. No.

Division / Department / Joining Date


Branch
Position Mobile No.

Duty Location Accommodation

Type of Grievance Work Accommodation Dispute Personal HSE Others


Grievance Details
P

Action Taken (To be filled up by Welfare Officer)

Reported by: Grievance Handled by:

Employee Name / Date / Signature Welfare Officer Name / Date / Signature


Action Taken (To be filled up by Welfare Manager/Senior Welfare Officer)

Grievance Handled by: Date / Signature

Grievance Forwarded to Welfare Manager HR Dep. Finance Dept. Others


Action Taken (To be filled up by concern Dept.)

Name : Date / Signature


Dep. :
Designation :

Employee Acknowledgement

Grievance Solved. Not solved


Employee Name :
Date / Signature :

(Action will be taken minimum one week upon receipt of grievance)

HRD-F26 Rev.02

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