Grievance

Grievance Form

Grievance by*

*Others, kindly specify

Are You Enrolled under ABDM ?*

User/Entity Details

Name*

Organization Name*

Mobile Number*

State Of Employment*

State Of Employment

State*

District*

State*

District*

Address*

Grievance Details

Grievance Related To*

Grievance Description*

Char Left :3000

Note: Description length should be 3000 characters only

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