Maitri Grievance

Name of the Entity Filed: *

Activity of the Entity: *

Investment (in Lakhs): *

Direct Employment: *

Name of the Applicant: *

Mobile Number: *

Email ID: *

Location of the Business: *

State:

District: *

Taluka: *

Village:

Type of Request: *

Other Request Type Details: *

Nature of Request: *

Other Nature Of Request Details: *

Name of Department: *

Detailed Description: *

Note: Each grievance recorded should have only one ticket number for one department.

Supporting documents (if any):

Note: File should have an extension such as .jpg or .JPEG or .pdf or .png and File size should be fall between 5KB and 2MB.