CGRMS
Date of Complaint :
Enter UCN(if Available) :
(e:g REF-13029 Or 13029 )
  Name of Complainant :
Type of Complainant : *   On Behalf Of :
Category of Complainant :   Gender :
Complaint Against : *   Relationship :
State : * Mobile No. :
District : * Phone No. :
URN : Email ID :
Stakeholder Name : * Address of Complainant :
 Maximum  200   characters
Complaint Category : *
Complaint Type : *
Upload Documents  :
(Upload .pdf or .doc/.docx or .xls/.xlsx file)
   
  Complaint Details : *
 Maximum  500   characters
Fill the Shown value :
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