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Select Department to which the grievance pertains
--------------Select------------
Office of Honourable Chief Minister
State Govt. Departments
District Collector
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Name
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Gender
Male
Female
Others(If not an Individual)
Transgender
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Complainant Category
---------Select---------
General
Person with Disabilty
Defence Personnel
NRI
Senior Citizen
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Address of correspondence
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Address
Pincode
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Country
India
Other Countries
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State / UT
Andaman And Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Dadra & Nagar Haveli
Daman & DIU
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu And Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
-- Select State --
Sikkim
Tamilnadu
Tripura
Uttar Pradesh
Uttranchal
West Bengal
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District
---select---
East Garo Hills
East Khasi Hills
Jaintia Hills
Ri Bhoi
South Garo Hills
West Garo Hills
West Khasi Hills
Phone No.
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Mobile No.
E-Mail Id.
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Please Enter Specific Details about Your Grievance here
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Remedial Action
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