Grievance Register From WebUser


Personal Detail's

Name*
Mobile*

Alternate Mobile


District*
ULB*

Ward
House No/Building Name/Plot No*

Street/Road (Locality)*
Sector/Area/Mohalla*

Landmark*

Case Details

Category*
Sub-Category*

Description*
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Case Address ( Check if same as Person Details )

District*
ULB*

Ward
House No/Building Name*

Locality*
Sector/Area/Mohalla*
Landmark*

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