Lodge Grievance


Grievance Redress Form
Organisation Name:

Name:*
Gender:*

Complainant Category:

Do You want a Password for this Grievance?*

Password*

Confirm Password:*


Passwords do not match
Password Clue:*
Address of Correspondence
Address:*



Pincode:*

Country:

State:

District: *

Phone No:
Mobile:*

Email:

Complaint Details
NFSA Related?*

Problem relating to:*

Ration Card No:*

FPS Name:*

FPS ID/License No:*

FPS District:*

FPS Village/Locality:*

Card Type:*


Grievance Description:*


Remedial Action(optional):

Upload Relevant Document (Optional):

All documents are to be merged in one document


Document type allowed (pdf, jpg, jpeg and png only) and max size 250KB

Have you earlier lodged the grievance to the above Department on the same subject ?*

Reference No:*

Security Code
Get Security Code Validate