Grievance Registration Form
Entries Prefixed with * are Mandatory!
* Select Department to which the grievance pertains
* Name (Hming)
* Gender Male (Mipa)Female (Hmeichhia)Others(If not an Individual)Transgender
* Complainant Category
Do You want a Password for this Grievance? Yes No
Address of correspondence
* At
* Post
* Block
* Country
* State / UT
* District
Phone No.   Mobile No.   
E-Mail Id.     
Identity proof     
Identity Proof Number/Detail     
* Please Enter Specific Details about Your Grievance here(Hetah hian i lungawilohna ziak rawh le) (4000 Characters Left)
Remedial Action(optional)(1000 Characters Left)
  only(.pdf or .jpg) upto 1MB
Have you earlier lodged the grievance to the above Department on the same subject ? Yes No