| Lodge Grievance (Fields with * are mandatory) |
| Applicant Details |
| Name of the applicant* |
|
| Gender |
|
| Address |
|
| PIN Code |
|
| Phone Number(Land Line) |
(example: 01122564799)
|
| Phone Number(Mobile) |
(example: 9441145679)
|
| E-Mail ID |
|
| Grievance Location Details |
| Zone* |
|
|
Ward
|
|
|
Colony
|
|
| Address* |
|
| PIN Code |
|
| Grievance Details |
| Frequently Filed Grievance Types |
|
| Grievance Category |
|
| Grievance Sub Category |
|
| Subject* |
|
| Grievance Description* |
|
| Upload Documents/Photographs |
|
| Already Reported To MCD officials? |
|
| Details Of Previous Report* |
|
|
| Response From The Department* |
|
|
General Services