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Complaint Source Individual / Janta Darbar / Office Receiving

Complaint Before yes /No


if Yes Complaint Number & Date
Office Category
Office Name
If No Fresh Complaint Number & Date
Name
Address
ID Proof
Complaint Copy
Transferred To CO / RO
Grivance Category
Name
Gender
Address for Communication
Pincode
Country
State
Contact Number
Mobile Number
Email Address

Grievance Details
Office to which grievance pertains
Grievance Category
Grievance Description

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