CONCOR : : Grievance Redressal

Entries Prefixed with * are Mandatory

*Grievance Pertains to

*Name

Complainant Category

MaleFemaleOthers (If an organisation)

*Password

(Minimum 6 characters)

*Confirm Password

Password Clue

*Address

Pincode

Country

State

*Phone No.

(ISD Code+STD Code-without '0' prefix+Tel.No) eg : 911123367688

*Mobile No

(ISD Code & Mobile Number)eg : 919999999999

*Email Id.

*Grievance Category

* Please enter Grievance Description upto4000 characters

Have you earlier lodged the grievance to the above organisation on the same subject?

Yes

Do you want to upload PDF Attachment ?

Yes

*Please type the code appearing in the image below:

Type the code from the image

I hereby state that the facts mentioned above are true to the best of my knowledge and belief.