Grievance Registration Form

GRIEVANCE REGISTRATION FORM

Types of Grievance

Complaint Suggestion Seeking Guidance/ Information

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Types of User

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Name of Complainant : *

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Address of Complainant *

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Pin Code *

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District *

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Email: *

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Mobile No *

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Grievance Category

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Please Enter Grievance Description 500 Characters *

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Declaration *

I hereby state that the facts mentioned above are true to best of my knowledge and belief

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