School Student Helpline
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Grievance Registration Form
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Prefixed Entries Are Mandatory!
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To which the grievance pertains
Secretary SME
Secretary SME(Teacher)
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Name
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Gender
Male
Female
Others(If an Organisation)
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Complainant Category
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Student
Guardian
Teacher
School Management Committee
School Management Development Committee
Address of correspondence
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District
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Anugul
Balangir
Balasore
Bargarh
Bhadrak
Boudh
Cuttack
Deogarh
Dhenkanal
Gajapati
Ganjam
Jagatsinghapur
Jajapur
Jharsuguda
Kalahandi
Kandhamal
Kendrapara
Kendujhar
Khurda
Koraput
Malkangiri
Mayurbhanj
Nabarangapur
Nayagarh
Nuapada
Puri
Rayagada
Sambalpur
Subarnapur
Sundargarh
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Block
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School Name
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Pincode
Phone No.
Mobile No.
E-Mail Id.
Identity proof
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PAN Card Number
BPL Card Number
Voter Id Number
PDS Number
Passport Number
Driving Licence Number
UID Number
Any Other
No proof available
Identity Proof Number/Detail
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Grievance Catagory
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Please Enter Specific Details about Your Grievance here
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Remedial Action
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Upload(Relevant Document)
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Have you earlier lodged the grievance to the above Department on the same subject ?
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No
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