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Lodge Grievance

* Marked Fields are mandatory
Grievance Pertains to Office
Office
Grievance Category
 *
Complainant Name  *

   
Aadhar UID
PAN Card No.  
Voter Id. / Card No  

   
Building No.
Street Name
Police Station
City / Town /Village
Post Office
District
PIN
State
Email Id
   


Mobile No  *  OTP will be sent to this number.
Date of Incidence (if any)  
Description of Grievances
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Action Wanted
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Upload File (if any)  
(.doc, .docx, .pdf, .PDF, .DOC, .RAR, .rar, .ZIP, .zip, .jpg, .JPG, .jpeg, .gif, .png)

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