TUBE WELL COMPLAIN
Tube well Details
District*
Block*
Panchayat*
Tubewell*
Remarks Type *
Remarks * :  
Already Complained to CO* :           
Already Complained to DM* :           
Upload Image1(.jpg only)      
Upload Image2(.jpg only)      
Upload Document(PDF only)
Note:- Image1 and Image2 size must be less than 200 KB and Document size must be less than 1 MB.
Informer Details :
Name*  
Mobile No.*  
Email*  
Address*