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Lodge Your Grievance * ( Mandatory Fields )
Submit Your Grievance
* Description
(Max 600 Characters)
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(Description may also be entered using any Unicode compliant Hindi font.)
* Action Required
(Max 400 Characters)
Please do not use the special character(~, `, !, $, ^, *, {, }, [, ], |, <, >, '', --) for entry

(Description may also be entered using any Unicode compliant Hindi font.)
Upload Document, if required
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* Department Concerned
* Locality of the Grievance

* Grievance Site Address
Your Details
* Name
*Mobile No.
 
E-Mail ID  
Pin Code
 
* Complainant Address
Visual Image        Visual verification
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