-: Lodge Your Complaint:-

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• Fill in all the fields that are marked as required*
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• Once the form is saved as draft, an unique complaint id is provided which can be used in the future for editing the form before final submision.

Ministry/Department Details:

State Government : Tripura Government

Department (required)*: Select Agriculture DepartmentAnimal Resources Development DepartmentChief Minister's SecretariatCo-operation DepartmentDistrict and Session JudgeEducation Department (School/Higher/Youth Affairs/Sports/Social)Election DepartmentFinance DepartmentFisheries DepartmentFood, Civil Supplies and Consumer Affairs DepartmentForest DepartmentGeneral Administration DepartmentHandloom, Handicrafts and Sericulture DepartmentHealth DepartmentHome DepartmentIndustries and Commerce DepartmentInformation, Cultural Affairs and Tourism DepartmentLabour DepartmentLaw and Parliamentary Affairs DepartmentOthersPlanning and Statistics DepartmentPolice DepartmentPower DepartmentPublic Works DepartmentRelief, Rehabilitation and Disaster Management DepartmentRevenue DepartmentRural Development DepartmentScience, Technology and Environment DepartmentThe Conservator of Forest,Wild lifeThe Divisional Forest Officer, KanchanpurTransport DepartmentTribal Welfare DepartmentTripura Information CommissionTripura Legislative AssemblyTripura Public Service CommissionUrban Development DepartmentWelfare of Scheduled Castes, OBCs and Minorities Department

Organisation/Public Authority (required)*: Select

Complainant's Particulars:

Title (required)*: Select Mr. Mrs. Ms. Miss. Shri. Smt. Dr.

Name (required)*:

Surname:

Alias:

Citizenship Status (required): Citizenship Status (required):Indian Citizenship Status (required)*:NRI/Persons of Indian Origin

Country of Residence (required)*: Select AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocn TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandColombiaComorosCongoCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropean Union (EU)Falkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrech Southern TerritoryFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandsIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartininqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandsNicaraguaNigerNigeriaNiueNorfolk IslandNorth Korea (PRK)Northern Mariana IslandsNorwayOmanOthersPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadianesSamoaSan MarinoSandwich IslandsSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Korea (RK)SpainSri LankaSt HelenaSt Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUS Minor Outlying IslandsUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands (British)Virgin Islands (US)Wallis and Futuna IslandsWestern SaharaYemenZaireZambiaZimbabwe

Is the Complainant Below Poverty Line (BPL)? (required)*: Is the Complainant Below Poverty Line(BPL)? (required):Yes Is the Complainant Below Poverty Line(BPL)? (required):No

(If, Complainant is below poverty line):

Details of BPL Certificate/Proof:

Copy of BPL Certificate/Proof:

Contact Details:

Complete Address (required)*:

Pin Code*:

State/UT*: Select Andaman and Nicobar IslandAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPuducherryPunjabRajasthanSikkimTamil NaduTripuraUttar PradeshUttarakhandWest Bengal

District*: Select

Name of City/Town/Village*:

Telephone 1: Area Code(Telephone 1): Phone Number(Telephone 1):

Telephone 2: Area Code(Telephone 2): Phone Number(Telephone 2):

Mobile Number*:

Fax: Area Code(Fax Number): Fax Number:

E-mail ID:

Details of PIO approached, if any:

Have you applied to any PIO for Information related to this complaint? (required)*: Have you applied to any PIO for Information related to this complaint? (required): Yes Have you applied to any PIO for Information related to this complaint? (required): No

Do you have Complaint / Registration Number of your complaint? Do you have Complaint / Registration Number of your complaint? Yes Do you have Complaint / Registration Number of your complaint? No

(If, you have Complaint / Registration Number):

Enter Complaint / Registration Number of your Complaint:

(If, you dont have Complaint / Registration Number):

Info. Request Filed On(Date): Info. Request Filed On(Date) - Month: January February March April May June July August September October November December Info. Request Filed On(Date) - Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Info. Request Filed On(Date) - Year: 2005200620072008200920102011201220132014201520162017201820192020

PIO Details:

Name:

Address:

Telephone: Area Code(Telephone Number): Phone Number:

Email:

If First Appeal made: If First Appeal made:Yes If First Appeal made:No

Do you have Complaint / Registration Number of your First Appeal? Do you have Complaint / Registration Number of your First Appeal? Yes Do you have Complaint / Registration Number of your First Appeal? No

(If, you have Complaint / Registration Number of your First Appeal):

Enter Complaint / Registration Number of your First appeal:

(If, you dont have Complaint / Registration Number of your First Appeal):

First Appeal filed on (Date): First Appeal filed on (Date) - Month: January February March April May June July August September October November December First Appeal filed on (Date) - Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 First Appeal filed on (Date) - Year: 2005200620072008200920102011201220132014201520162017201820192020

Appellate Authority Details:

Name:

Address:

Telephone: Area Code(Telephone Number): Phone Number:

Email:

Complaint Details:

Does it pertain to the Life or Liberty of a Citizen?
(This information is required to make
the provision of Section 7(1) applicable): Does it pertain to the Life or Liberty of a Citizen? (This information is required to make the provision of Section 7(1) applicable): Yes (Urgent) Does it pertain to the Life or Liberty of a Citizen? (This information is required to make the provision of Section 7(1) applicable): No (Normal)

Are you a Senior Citizen? (above 60 years): Are you a Senior Citizen? (above 60 years):Yes Are you a Senior Citizen? (above 60 years):No

(If, you are a Senior Citizen):

Age Category: Select 60-69 years 70-79 years 80-89 years 90 years and above

Details of age proof document:

Copy of age proof document:

Are you Physically Handicapped? Are you Physically Handicapped?Yes Are you Physically Handicapped?No

(If, you are Physically Handicapped):

Details of Handicap:

Copy of disability certificate:

Please enter the Complaint Description
(if you have text in electronic form simply copy and paste here) (required)*:

Supporting Documents:

Document 1 (required, if you have applied to any PIO for Information related to this complaint):

Details Document 1 (required, if you have applied to any PIO for Information related to this complaint) :

Upload (Document 1) :

Do you want to upload more documents? Select 1 2 3 4

Document 2

Detail (Document 2):

Upload (Document 2):

Document 3

Detail (Document 3):

Upload (Document 3):

Document 4

Detail (Document 4):

Upload (Document 4):

Document 5

Detail (Document 5):

Upload (Document 5):

Information for Research and Analysis Purpose:

Above information is sufficient to file this complaint.
In case you agree to help us in research, kindly choose
Yes and provide the information requested in the following dropdown boxes: Above information is sufficient to file this complaint. In case you agree to help us in research, kindly choose Yes and provide the information requested in the following dropdown boxes:Yes Above information is sufficient to file this complaint. In case you agree to help us in research, kindly choose Yes and provide the information requested in the following dropdown boxes:No

Category: Select General SC/ST OBC

Sex: Select Male Female Others

Locality: Select Metros State HQs District HQs Sub-Division level Block/Taluk level Grampanchayat level Village level

Age Category: Select Below 20 years 20-35 years 36-50 years Above 50 years

Education: Select Graduate/Post Graduate-Professional Graduate/Post Graduate-General Some College but not Graduate SSC/HSC School 5-9 Years School upto 4 years

Occupation: Select Officer/Executive-Senior Officer/Executive-Middle Officer/Executive-Junior Software Professional Supervisor Self Employed Professional Businessman/Industrialist with 10+ employees Businessman with 1-9 employees Shopowner Student Not working/Retired Housewife Agriculture Others

Annual Income: Select 18000-50000 50000-100000 100000-500000 Above 500000

Verification Code:

Please enter the Verification Code shown on the image*

Declaration: The information as provided above is true to the best of my knowledge and belief.