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Grievance Registration Form
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*Prefixed Entries Are Mandatory!
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To which the grievance pertains
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Name
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Gender
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MaleFemaleOthers(If an Organisation)
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Complainant Category
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Address of correspondence
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District |
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Block |
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School Name |
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Pincode
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Phone No.
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Mobile No.
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E-Mail Id.
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Identity proof
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Identity Proof Number/Detail
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Grievance Catagory
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Please Enter Specific Details about Your Grievance here
(4000 Characters Left) |
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Remedial Action(optional)(1000 Characters Left)
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only(.pdf) upto 2MB
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Have you earlier lodged the grievance to the above Department on the same subject ?
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Yes
No
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