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  • Grievance Form

  • * Name   Date
    * Email * Mobile +91   
    Address
     Characters left * Sector to which grievance relates
    * i. Name of the Infrastructure  Characters left *  ii. Location of the bad stretches(km)  Characters left
    * iii. Nearest village/town/city name * iv. Type of damage
    Grievance Description You have characters left.
    Have you approached the authority concerned??   YES      NO Name of the Authority Approached:
    Approached Date DD/MM/YYYY What was the Response to your grievance?   No response     Partially Solved
    Upload Attachment(s)
    (Representation / Photograph)