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An e-Governance Initiative by Government of Jammu and Kashmir
Register Grievance
(*) District :
(*) Committee :

(*)

Name of the Applicant :
Title First Name Middle Name Last Name
(*) Status of the Applicant :
(*)













Address for correspondence :













c/o:  
House No. and name:
Street No. and name:
Landmark:
Village / City:
Tehsil :
State :
Pin code:
(*) E-Mail Address :
(*) Telephone Number : (If you enter your mobile number you will receive your registration number via "SMS")
(*) Complaint Received/Booked Over :
(*) Type of Grievances/Complaint :
(*)
Please Enter The Detail of Grievance/Complaint :
File Upload (Evidence/Proof) :
(File must be : ".pdf",".jpg",".bmp",".png",".gif")
Captch
(*) Enter Image Code :
 
(*)--Mandatory Fields
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