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COMPLAINT REGISTRATION FORM
Name
Email
Age
Mobile
House No.
Address
Please Select Ward, Department & Complaint Category
Select Ward
Adampura
Bhelupur
Chetganj
Chowk
Dashasawmedh
Jaitpura
Kotwali
Nagwan
NEW AREA
Ramnagr
Sarnath
Shivpur
Sikrol
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Select Department
Sewer Damage Department
Water Department
Hand Pump Department
Other Department
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Please select an Deparment
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