Lodge a Grievance

Grievance Registration Form

Select Department * :
Zone :
Ward Number :
Ward :
Grievance Pertains to * :
Sub Category : * :

Applicant Name * :
Applicant Address * :
Phone No :


(ISD Code+STD Code-without '0' prefix+Tel.No) eg : 911123367688

Mobile No * :


Please to enter the Mobile No First verify the mobile no through the process of verify mobile Number.
you can use bellow link to verify the Mobile number
Verify Mobile Number

Email * :  
Application Subject :

Application Detail * :
Please Enter Grievance Description upto 4000 characters

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