State Commission for Women, Jharkhand

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State Commission for Women, Jharkhand

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Complaint Registration

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Name of the Complainant *	:
Address of the Complainant *	:
Email of the Complainant	:
Phone of the Complainant *	:
Victim : Whether the Complainant is the Victim?	:
Email of the Victim	:
Phone No. of the Victim	:
Date of Birth *	:
State *	:
Name of the Accused *	:
Address of the Accused *	:
Nature of the Complaint	:
Whether the Complaint against NRI	:
Date of Incident (DD/MM/YYYY)	:
Complaint in Detail	:

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