Public Grievance

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Grievance Redrassal Form

Note--> Fields marked with * are mandatory

*Applicant Name

Sex

Male

Female

Group

*Address

Phone No

Pincode

Department to which Grievance related

Subject Of Grievance

If another grievance which is not in list

Have you exhausted the normal administrative channels of the department

Letter Number (if any)

Letter Date

dd mm yyyy

Officer of the dept

Department

Designation(if others)

What was the response?

Is it subjudice?

*Please Enter Grievance Description (Maximum 3000 Characters)

श्री सरफ़राज़ आलम

(अध्यक्ष)

श्री विवेक त्रिपाठी

(अधिशासी अधिकारी)

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