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Grievance Redrassal Form
Note--> Fields marked with * are mandatory
*Applicant Name :
Sex:
*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)