Complaints Form

Kenya Coast National Polytechnic > Complaints Form

Name: (Dr/Mr/Mrs/Ms
Complainant Full Names(All information given is voluntary)
ID/Passport Number:
Postal Address:
City State / Province / Region ZIP / Postal Code Country
Mobile Number
Email Address:*
Age:
How did you come to know about the polytechnic complaints mechanism?
How did you come to know about the polytechnic complaints mechanism?
- Newspaper
- Tv /radio
- Referral by a friend
- Others specify
Which public institution or public officer are you complaining about/department/agency
Have you reported this matter to any other public institution /public official
- Yes
- No
If yes which one*
Has this matter been subject to court proceedings?*
- Yes
- No
Please give a brief summary of your complaint and attach all supporting documents (note to indicate all the particulars of what happened, where it happened, when it happened and by whom*
What action would you want to be taken*