URBAN LOCAL BODIES: PUBLIC GRIEVANCE AND REDRESSAL

Municipal/Town Council

Select Council Type *

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Select Municipal Office

Select Town Council office

Complainant's Details

Complainant's Title *

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Complainant's Full Name: *

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Mobile Number *

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E-Mail

Address *

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State *

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District *

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Pin Code *

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Grievance Details

Grievance Category *

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Grievance Details I *

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Grievance Details II

Complaint Area/Location *

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Complaint Address *

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Complaint Ward/Colony *

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Complaint Landmark

Street/Road

Photo Proof of Grievance (Min: 20KB Max: 1 MB)

Declaration by the Complainant's

I hereby declare that,

1. My details entered in this application are true to the best of my knowledge and I promise to abide by the rules.

2. The complaint lodged by me is for the sake of public interest. I shall be fully responsible for the information provided and will be liable for any legal action against me if the information is found to be false.

I Agree *

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