PGRAMS -:- Grievance Registration Form
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Grievance Registration Form


Grievance Details

* Submitted from
* Select Organization/District
* Subordinate Department/Branch
* Grievance Subject
* Name
Date of Birth (Please enter date in dd/mm/yyyy format)
* Gender MaleFemaleGroup(If not an Individual)Transgender
* Complainant Category
Do You want a Password for this Grievance? Yes No
* Please Enter Specific Details about Your Grievance here (4000 Characters Left)

Citizen's Address

* Address
* City/Town/Village
* Post Office
* District
* Mandal
* Village
* Mobile No.   
Phone No.  
E-Mail Id.     

Upload Grievance Document

  only(.pdf or .jpg) upto 1MB
Have you earlier lodged the grievance to the above Department on the same subject ? Yes No