Register Complaint

[md-form spacing="tight"]

[md-text label="" outlined="yes"]
First Name

[/md-text]

[md-text label="" outlined="yes"]
Last Name

[/md-text]

[md-text label="" outlined="yes"]
Date

[/md-text]

[md-text label="" outlined="yes"]
Address

[/md-text]

[md-text label="" outlined="yes"]
Contact Number

[/md-text]

[md-text label="" outlined="yes"]
Email id

[/md-text]

[md-text label="" outlined="yes"]
Subject

[/md-text]

[md-textarea label=""]
Description

[/md-textarea]

Attaching of ID PROOF is mandatory *
[md-file label=""]

[/md-file]

Attach supporting documents for Complaint. if any

[md-file label=""]

[/md-file]

Following File formats are allowed (pdf, png, jpg, jpeg) with maximum size limit of 1 mb.

[md-submit]

[/md-submit]

[/md-form]