Grievance Registration Form
Entries Prefixed with * are Mandatory!
* Select Office to which the grievance pertains
* Name
* Gender MaleFemaleOthers(If not an Individual)Transgender
* Complainant Category
Do You want a Password for this Grievance? Yes No
Address of correspondence
* Address
* Country
* State / UT
* District
Phone No.  
E-Mail Id.     
* Please Enter Specific Details about Your Grievance here (4000 Characters Left)
Relief/Claim Sought (optional)(1000 Characters Left)
  only(.pdf) upto 1MB
Have you earlier lodged the grievance to the above Department on the same subject ? Yes No
* Mobile No.   
* Enter code received on your mobile