Grievance Registration Form

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Select Department

Grievance Pertains to Select

Complainant Category -Select- Male Female Others (In any organization)

AppSubject

Select Grievance Office* Select Lucknow Office Noida Office

Select Mode of Grievance* Select online In Person Phone Call Email Daks/Posts/Couriers/By hand Media Cell

Applicant First Name*

Applicant Middle Name

Applicant Last Name*

Applicant Contact No*

Alternate Contact No

Applicant Email address

Applicant Address*

Select Division / Cell*

Grievance Applicant* Select Promoter Agent Complainant General Public

Select Category*

Select Sub Category*

Project

Court Case

Grievance Details * ( upto 4000 characters )

Upload Relevant Document

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