Grievance Form Fields marked with * are Mandatory Contact Details/संपर्क विवरण Your Full Name/आपका पूरा नाम * Father's/Spouse's Name/पिता/जीवनसाथी का नाम * Phone Number/फ़ोन नंबर Mobile Number/मोबाइल नंबर * Email-ID/ईमेल आईडी Gender/लिंग Male/पुरुष Female/महिला Address/पता * State/राज्य <----------Select State---------> Andaman and Nicobar Islands Andhra pradesh Arunachal pradesh Assam Bihar Chandigarh Chattisgarah Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya pradesh Maharastra Manipur Meghalaya Miizoram Nagaland Orissa Puducherry Punjab Rajasthan Sikkim Tamil nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal * District/ज़िला Select District * Detail of the incident or misconduct - Your Grievance/घटना या कदाचार का विवरण - आपकी शिकायत Subject/विषय <----------Select Subject---------> Employment on compassionate ground Employment on medical ground Employment and compensation against land Anomaly in Pay Fixation Increment Promotion Transfer Pension Settlement Pension Revision Retiral Dues CMPF HRA House building Allowance Family Disputes Quarter Allotment Quarter Maintenance Medical Imbursement EMD/ BG Refund Payment of Bills Civil Works Personal Issues Others * Grievance related to the Area/HQ/शिकायत किस क्षेत्र/मुख्यालय से संबंधित है <-------------Select Area------------> AMRAPALI CHANDRAGUPTA ARGADA BARKA-SAYAL BOKARO AND KARGALI CS/CWS BARKAKANA DHORI GIRIDIH HAZARIBAGH HEADQUARTER KATHARA KOLKATA KUJU MAGADH SANGHMITRA MRS RAMGARH NORTH KARANPURA PIPARWAR RAJHARA RAJRAPPA * Grievance related to the Department/Unit/शिकायत किस विभाग/इकाई से संबंधित है Select Department/unit * Grievance in Details/शिकायत का विवरण करें * Names or details of Witnesses (if any)/गवाहों के नाम या विवरण (यदि कोई हो) Support Document/समर्थन दस्तावेज़ (pdf , jpeg and jpg Only Max. 1MB) Captcha/कॅप्चा     *