Query Proforma For PM-UDAY

1. आगंतुक का नाम      Visitor Name *
2. पता     Address *
3.  मोबाइल नंबर (आवेदन में उल्लेखित)      Mobile No.(As Mentioned in Application) *
4.  टेलीफ़ोन नंबर      Telephone No.
5.  ईमेल आईडी      Email ID *
6.  सभा     Assembly *	--Please Select Assembly-- Adarsh Nagar Ambedkar Nagar Babarpur Badarpur Badli Bawana Bawana + Mundka Bijwasan Burari Chandni Chowk Chhatarpur Delhi Cantt. Deoli DWARKA Gandhi Nagar Ghonda Gokulpur Greater Kailash Hari Nagar Janakpuri Jangpura Karawal Nagar Karol Bagh Kasturba Nagar Kirari Kirari + Mundka Kondli Krishna Nagar Laxmi Nagar Madipur Malviya Nagar Mangolpuri Matiala Mehrauli Model Town Moti Nagar Mundka Mustafabad Najafgarh Najafgarh + Matiala Nangloi Jat Nangloi Jat + Mundka Narela Okhla Palam Patel Nagar Patparganj Rajori Garden Rithala RK Puram Rohini Sangam Vihar Seemapuri Shahdara Shalimar Bagh Sultanpur Mazra Timarpur Trilokpuri Tughlakabad Uttam Nagar Vikaspuri Vishwas Nagar Wazirpur
7.   कालोनी     Colony *
8. शिकायत के प्रकार       Types of Grievance	--Please Select Grievance Types-- GIS Survey Processing of application Execution Payment Related Software Related Other
9. शिकायत का विवरण      Details of Grievance
10. घटना क्रमांक      Case ID
11.  पंजीयन पहचान      Registration ID *	DDA / / E.g.: DDA/000011112222333344/556677
12.अनुरोध दिनांक      Request Date	(dd/mm/yyyy)
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