Grievance Registration Form
Entries Prefixed with * are Mandatory!
* Select Legal Service Institution
* Name
* Gender MaleFemaleOthers
* Complainant Category
Address of correspondence
* Address
* Country
* State / UT
* District
Phone No.  
E-Mail Id.     
* Please Enter Specific Details about Your Grievance here (4000 Characters Left)
Remedial Action Expected(optional)(1000 Characters Left)
Identity Proof Number/Detail     
  only(.pdf) upto 10 MB
Have you earlier lodged the grievance to the above LSI on the same subject ? Yes No
Mobile No.