Complaint | National Helpdesk for Prevention of Atrocities

Grievance Registration

Grievance Related to

FIR
Relief
Charge Sheet

Do you have an registered FIR?

FIR No. Date of FIR

Registration of Grievance by

As an Informer
As a Victim
As an NGO

Email Id / Mobile No.

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Informer Details

First Name

Middle Name

Last Name

Landline

Mobile:

E-Mail

NGO Details

NGO ID

NGO Pancard No

NGO Name

Mobile:

E-Mail

Victim Details

First Name

Middle Name

Last Name

Father/Husband Name

Date of Birth

Age of Victim

Gender

Victim’s Identification

Mobile no. / Nearest Contact No.

E-Mail

Victim Residential Address

Address

State

District

Taluka

Pincode

Grievance Details

Nature of Grievance

Describe the Problem

Is Place of Offence same as Victim Address

Do you have an Sanction no.

Nearest Police Station

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Summary

Grievance Registration
Grievance Related to
Lodging Grievance as

Informer Details		Edit
First Name
Middle Name
Last Name
Landline
Mobile
Email Id

NGO Details		Edit
NGO ID
NGO Pancard
NGO Name
NGO Mobile Number
NGO Email ID

Victim Details		Edit
First Name
Middle Name
Last Name
Father/Husband Name
Date of Birth
Age
Gender

Victim Identification		Edit
Mobile
E-Mail
Category
Nationality
Other Id

Victim Residential Address		Edit
Address
State
District
Taluka
Pincode

Grievance Details		Edit
Nature of Grievance
Describe the Problem
Do you have an registered FIR?
FIR NO
Date & Time of FIR
Date & Time of Offence
Is Place of Offence same as Victim Address
State
District
Do you have an Sanction no
Sanction Number
Sanction Amount
Sanction Date
Nearest Police Station

Grievance Registration

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Informer Details

NGO Details

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Victim Details

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Victim’s Identification

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Victim Residential Address

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Grievance Details

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Summary

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