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Online Grievance

Basic Information

District *

Complainant's Name *

Mobile Number *

Email

Identity Proof *

Name of Identity Proof No.

Address *

Details of the Complaint

Complaint Category *

Complaint Sub-category

Child's Name

Child's DOB *

Child's Age *

Child's Gender *

Father/Mother/Guardian Name *

Brief Description of the Complaint * * Maximum 100 words allowed.