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.
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.