Form - Universitat Autònoma de Barcelona

Surname, Name *

National ID number *

Address (street, number, apartment) *

Post code *

Town/City *

Province/County/State of birth *

Telephone *

E-mail address *

Bonding with the UAB *

Degree student Postgraduate student Official master's student PhD student

Other studies

Teaching and research staff Administrative staff External staff

Other

Faculty or school *

Bachelor's degree name

Scope to which the complaint is affected *

Teaching Work Political and institutional External

Other

Center or service affected by the complaint *

I DECLARE (Include the steps taken previously and the reasons for these) *

I REQUEST (Requests are always treated as confidential) *

In accordance with the competences of the Ombuds Officer.

Supporting documents NOTE: Please attach documents in PDF format and make sure that the total weight does not exceed 5 MB.

Date *

Application to the Ombuds Officer