SUBMIT APPLICATION      
 
NOTE: Please Enter Complete Application Details NOT Application Brief/Gist In Application Details Box.    
   Application Nature ->      NOTE: Fields marked as # are mandatory  
Application Nature #                               
   Submit Application to ->
Department #  
Application Type #  
District #  
Office #  
   Application Details ->  
Application Details #










Application may also be entered using any Unicode compliant Hindi font
 
Old Online Application Number     ( If to mention )
   Location Of Grievance ->  
State #
District #  
Select Area Type #  
Select Block/Ward #  
Select Panchayat #  
Select Village #  
Constituency #  
   Applicant's Details ->  
Applicant Name #      #  
Applicant Category #  
Permanent Address #  
         
    Correspondence Address same as Permanent address
Correspondence Address #    
Telephone Number with STD code     eg. 01772625216
   Please Mention Mobile Number or E-mail ID  
Mobile No. (don't prefix 0 or +91)    
e-mail Address       
Upload pdf File (If Any)-4MB max  
समग्र ईसमाधान में मेरी शिकायत में मेरे द्वारा दिया गया उपरोक्त निजी विवरण (नाम, ईमेल, फ़ोन व पता) मेरा ही है तथा समग्र ईसमाधान में मेरी शिकायत के सुचारु निवारण हेतु इस निजी विवरण के उपयोग हेतु मुझे कोई आपति नहीं होगी
I hereby declare that the above personal details (name, phone, email and address) belongs to me and I do not have any objection in use of these details in Samgr eSamadhan application for the smooth redressal of this application.
  Enter CAPTCHA text :      
    
For queries kindly contact : Department of Redressal of Public Grievances, HP Secretariat, Shimla (H.P.) | Phone : 0177-2880490 | email : janshikayatnivaran[at]nic[dot]in