Lodge a Grievance

Instruction: Complete the fields below and click Preview. Fields marked with (*) are mandatory

Grievance Registration Form
Select Department * :
Grievance Pertains to * :

Applicant Name * :
Complainant Category :
Applicant Address * :
Phone No :

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(ISD Code+STD Code-without '0' prefix+Tel.No) eg : 911123367688

Mobile No * :

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(ISD Code & Mobile Number)eg : 919999999999

Email * :  
Application Subject :

Application Detail * :
Please enter Grievance Description upto 4000 characters
Password * :
Confirm Password * :  
Please type the characters appearing in the image right :
 
     

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