Dear Applicant,

Please fill following details carefully and click on submit button.

Name *

Father's Name *

E-Mail *

Contact No *

Advt No *

Select Failed to connect to MySQL: Access denied for user 'hkclcvvw_gts'@'localhost' (using password: YES)

Cat No *

Select Category | Notified Services

Roll No

Login Id / Registration No *

Address *

City *

State *

Please Select State

Type of Grievance *

Please Select Type of Grievance

Brief | Grievance *

Attachement (Note:- pdf format) File size less than 1 mb *

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