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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 others)
What was the response?
Is it subjudice?
*Please Enter Grievance Description (Maximum 3000 Characters)


डॉ. धीरेन्द्र कुमार राय

(अधिशासी अधिकारी)

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