Complaint Registration-Non Consumer
 
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User Detail
Title* First Name*
Middle Name Last Name*
Contact Type Contact No.**
e.g.9123456788
Email Id**
e.g.test@abc.com
Note: ** Either Contact No. or Email Id is mandatory
Communication Address
Address Line 1* Address Line 2
State GUJARAT District*
Taluka* City*
SubDivision*
Complaint Detail
Complaint Type*
Nature of Complaint*
Complaint Description*