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ONLINE COMPLAINT REGISTRATION FORM FOR CHILD
Please proceed only if the matter does not require urgent attention.If the matter requires urgent attention & if the Child is a female then please call 181 or 100.
Please Consider Calling 1098 to file a complaint, instead of filing it here.
Are you registered with us?
*
Yes
No
Please Enter your Registered Phone number.
Click to verify
Complainant Details
Name
Phone number
*
Email address
WhatsApp number - if available?
Please tick if same as phone
Relationship with the Child
*
Child Details
Child Gender
*
Select gender
Female
Male
Please explain the problem in brief.
*
Name of the Child
Age of the Child
*
Category of the Child
--Select Category--
General
Scheduled Caste
Scheduled Tribe
Other Backward Class
Religion of the Child
--Select Religion--
Hinduism
Buddhism
Jainism
Sikhism
Child's Father name
Child's Mother name
Contact number
Addresss
Child's Education level
Select
State name
*
Select state name
Assam
Bihar
Chhattisgarh
Delhi
Haryana
Jammu and Kashmir
Meghalaya
District name
*
Select district name
Child's Family Situation
Select
Child's Living Arrangement
Select
Please enter captcha
*