Grievance Redrassal Form

Note--> Fields marked with * are mandatory

*Applicant Name :

Sex:

Male

Female

Group

*Address :

Phone No. :

Pincode :

Email :

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 other):

Response? :

Is it subjudice?

*Please Enter Grievance Description (Maximum 3000 Characters)

The Site is best viewed in 1024*768 resolution, using IE 6.0 and above

Designed & Developed By Fageo