NEW GRIEVANCE ENTRY FORM FOR CITIZENS
|
| This Screen is to be used for filing a new grievance. In case you have already filed a grievance and if you want to seek Clarifications on the "filed grievance action taken", please do not file a new grievance . In such cases, use the "Clarification on Grievance Filed " option available in the home page. |
| NOTE : All Fields are Compulsory. |
|
|
|
| Name |
|
|
| Address |
|
|
| |
|
|
| Mobile No |
|
If you don't have a mobile , pls give the number of your relative/friend.
|
| Email ID |
|
|
| Grievance Category |
|
|
| Grievance SubCategory |
|
|
Department to which
grievance pertains |
|
|
Please enter Grievance Description ( upto 4000 characters ) .
NOTE : It should contain alpha-numeric characters, underscores, and dashes.
|
|
|
|
I hereby state that the facts mentioned above are true to the best of my knowledge and belief. In case I have provided incorrect information above, I understand that action may be taken against me.
|
|