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Grievance Redrassal Form
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Applicant Name
Sex
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Group
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Address
Phone No
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Department to which Grievance related
Sanitation
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Subject Of Grievance
Complaint
Laying of Sewerage Lines
If another grievance which is not in list
Have you exhausted the normal administrative channels of the department
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Letter Number (if any)
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Officer of the dept
Complaint
Laying of Sewerage Lines
Department
Complaint
Laying of Sewerage Lines
Designation(if others)
What was the response?
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