PORTAL FOR PUBLIC GRIEVANCES                                                                                                                                                       home

                                                                                               
*- Required Field
 
* Name of person registering the grievance  
Gender
* Address  
Pincode
Country
* State  
District
Phone No  
(ISD Code+STD Code-without '0' prefix+Tel.No) eg : 911123367688
Provide Mobile number/e-mail address in order to Receive SMS/e-mail alerts related to this grievance
Mobile No  
(ISD Code & Mobile Number)eg : 919999999999
EMail ID
email id eg : examples@gmail.com
* Date Of Birth
     
* Grievance Category  
* Grievance Discription  
Description upto 4000 charactersn upto 4000 characters
*Special charecters like ^ [ ^ { } ` ~ | ^ & # ! \ [ \ ] < > ] $ are not allowed.
Reference Number (If any) And Date of Reference
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I hereby state that the facts mentioned above are true to the best of my knowledge and belief.

   
          
                            
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