School Student Helpline
Shri Naveen Patnaik
Hon'ble Chief Minister
samparkonline
Grievance Registration Form
*Prefixed Entries Are Mandatory!
* To which the grievance pertains
* Name
* Gender MaleFemaleOthers(If an Organisation)
* Complainant Category
Address of correspondence
* District
* Block
* School Name
Pincode     
Phone No.   Mobile No.   
E-Mail Id.     
Identity proof     
Identity Proof Number/Detail     
* Grievance Catagory     
* Please Enter Specific Details about Your Grievance here (4000 Characters Left)
Remedial Action(optional)(1000 Characters Left)
  only(.pdf) upto 2MB
Have you earlier lodged the grievance to the above Department on the same subject ? Yes No
*