Grievance Registration Form
Entries Prefixed with * are Mandatory!
* Select Department to which the grievance pertains
* Name
* Gender MaleFemaleOthers(If not an Individual)Transgender
* Complainant Category
Do You want a Password for this Grievance? Yes No
Address of correspondence
* Address
Pincode     
* Country
* State / UT
* District
Phone No.   *Mobile No.   
E-Mail Id.     
* Please Enter Specific Details about Your Grievance here (4000 Characters Left)
Remedial Action(optional)(1000 Characters Left)
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Have you earlier lodged the grievance to the above Department on the same subject ? Yes No
*
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