LODGE YOUR GRIEVANCE

Description/विवरण *

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Upload Document/अपलोड दस्तावेज,if required

( File size should be less than 2MB, only PDF file allowed )

Department Concerned/सम्बंधित विभाग *


Grievance Locality/शिकायत स्थान *


Grievance Site Address/शिकायत का पता *

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COMPLAINANT DETAILS/शिकायतकर्ता का विवरण

Applicant's Name/आवेदनकर्ता का नाम *

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Pin Code/पिन कोड

Mobile Number/मोबाइल नम्बर *

land Line No./लैंडलाइन नंबर

E-Mail ID/ईमेल आईडी

Complainant Address/शिकायतकर्ता का पता *

Other
Same As Grievance Site Address

Visual captcha Image/कैप्चा डाले *