SAMADHAN

                        Complaint Registration                   

(*) Mandatory Fields
Detail Of Complainant

*Complainant Type
*Name Of Complainant
*Mobile No Of Complainant
Email-ID Of Complainant
Address Of Complainant
EPIC NO

Detail Of Complaint

*Complaint/Information/Suggestion
*Type Of Complaint/Information/Suggestion
*Nature Of Complaint/Information/Suggestion
*District
Assembly Consituency
Polling Station Number & Name
Complaint/Information/Suggestion Against (Name)
*Complaint To Be Lodged Before
*Brief Description of Complaint/Information/Suggestion

Upload Document/Photo/Video (Optional)
Upload Files    (Size of all file cannot be exceed than 7 MB) Format (.PDF,.JPG,.JPEG,.PNG,.MKV,.MPEG,.3GP,.MP4)
Note:-    Please upload clear and Readable Picture.