Grievance Submission

Please select a district.
Please provide a valid date up to today.
Please enter your name (letters and spaces only, min 3 chars).
Please enter a valid 10-digit contact number.
Please enter a valid email address.
Date cannot be in the future.
Please select an option (ದಯವಿಟ್ಟು ಆಯ್ಕೆಮಾಡಿ).
Please select the nature of your business.
Enter a valid amount (numbers only).
Please provide detailed grievance (at least 20 characters).
Accepted: PDF, Word docs, images.