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Grievance Complaint (Web Only)

Enter Appropriate Data to Lodge Grievance Complaint.
Complaint Details
* Complaint Receiving Mode  
* Relates to which subject  
* Complainant Category  
* Complainant Name
* Under which authority the complaint falls ?  
Communication Address
*Address  
City/Town/Village
* District
* PIN
Mobile No
Phone with STD
Complaint Description
* Description of Grievances
* Action wanted
Upload File(If any)
* Remarks
  
Grievance Complaint Details
Complaint No :
Created On :
Complainant Name :
Mobile No :
Subject :
Catagory :
Description :
Action Wanted :