Grievance Registration Form(Jharkhand Samadhan Kendra)
Entries Prefixed with * are Mandatory!
* Name
* Gender MaleFemaleOthers(If not an Individual)Transgender
* Complainant Category
Do You want a Password for this Grievance? Yes No
* Address
Pincode     
* Country
* State / UT
* District
Block
Panchayat
Phone No.  
E-Mail Id.     
* Please Enter Specific Details about Your Grievance here (4000 Characters Left)
Remedial Action if any(1000 Characters Left)
  only (.pdf/.jpg/.jpeg) upto 1MB each
Have you earlier lodged the grievance to the above Department on the same subject ? Yes No
* Mobile No.   
Do you want to hide your identity? Yes No
*