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Grievance, or Complaint Form
Grievance, or Complaint Form
If you are disabled person, and have some issue, Grievance and want some assistance or help. Then please fill this form.
Name
*
Gender
*
Select
Male
Female
City
*
Pincode
Your current pincode.
Mobile No.
*
Email Address (if any)
Complaint
*
Please describe your complaint.
Departments Involved. *
*
Please provide names of departments involved or responsible for your issue or its resolution.
Relief you need. *
*
Please tell us what kind of relief you are asking for.
Attach Documents *
*
Drag and Drop (or)
Choose Files
Consent
*
Undertaking (I here by submit my grievance / Complaint. I have checked all the facts before submitting it.)
*
You must agree to our terms if you wish us to assist you in your grievance.
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Home
About us
Team
Activities
Gallery
Contact us
Media
Support
PWD Needing Scribe
Scribe Registration Form
Grievance, or Complaint Form
Volunteer Form
RESOURCES
DONATE NOW
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