Grievance Details

Type : *	-Select- Consumer Related Issues Dealer Related Issues Other Issues Procurement Related Issues Transporter Related Issues	Grievance Category : *	-Select-	Name : *
District : *	-Select- Araria Arwal Aurangabad Banka Begusarai Bhagalpur Bhojpur Buxar Darbhanga Gaya Gopalganj Jamui Jehanabad Kaimur (Bhabua) Katihar Khagaria Kishanganj Lakhisarai Madhepura Madhubani Munger Muzaffarpur Nalanda Nawada Pashchim/West Champaran Patna Purba/East Champaran Purnia Rohtas Saharsa Samastipur Saran Sheikhpura Sheohar Sitamarhi Siwan Supaul Vaishali	Block : *	-Select-	Panchayat :	-Select-
Village :	-Select-	Address : *
Phone No/Mobile No : *		Email Id :
Grievance Description : *
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