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COMPLAINT REGISTRATION FORM
Name
Email
Age
Mobile
House No.
Address
Please Select Ward, Department & Complaint Category
Select Ward
Adampura
Bhelupur
Chetganj
Chowk
Dashasawmedh
Jaitpura
Kotwali
Nagwan
NEW AREA
Ramnagr
Sarnath
Shivpur
Sikrol
Please select an Ward.
Select Department
Sewer Damage Department
Water Department
Hand Pump Department
Other Department
Please select an Department.
Please select an Deparment
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