Apply Grievances Request


Gri Type*  
Sub Type*  
Zone*  
Ward*  
Location*  
Request* Enter Brief Description and Specific Location of your request. Maximum 2000 characters. [त्वरित विवरण और आपके अनुरोध का विशिष्ट स्थान दर्ज करें. अधिकतम 2000 अक्षर.]  
Applicant Name*  
Applicant Email ID*    
Office Phones
Home Phones
Mobile No.*  
Property ID *  
Address
Enter your Address. We may have a need to reach you. Maximum 256 characters. [आपका पता दर्ज करें. हमे आप तक पहुँचने की आवश्यकता हो सकती है. अधिकतम 256 अक्षर.]
Upload Document if any (ie PDF or Image)
Upload Document if any (ie PDF or Image)
Security Code*
 
I declare that the information provided by me in the application is true