Complaint Submission
Complaint Information
Date
*
Location/Landmark of Incident
*
Subject
*
Complaint Details
*
Ward
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Other
Street/Lane
--Select Street--
Holding details
Other Street/Lane
Grievant's Information
Full Name
*
Phone No.
*
Email
Alternate Phone No.
Grievant’s Address:
Same as complaint location
Grievant's Address
Ward
--Select Ward--
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Other
Street/Lane
--Select Street--
Holding details
Other Street/Lane
Associated Document(If any)
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