Online Complaint Form

Particulars of the Aggrieved woman / Complainant

Complainant Name *

Email *

Section / Department (If employee/officer of the Court )

ID No.

Address*

Aadhar No.*

Phone/Mobile No. *

Particulars of the Respondent (s) against whom the complaint is made

Name*

Details of the alleged sexual harassment (with date, place of the incident etc. ) *

If the alleged sexual harassment is of recurring in nature, then the date of the last incident of alleged sexual harassment

Yes No

Name of the complainant (If aggrieved woman & Person making complaint are different)

Relationship between aggrieved woman & Complainant

Upload the Complaint or relevant Documents

Date of Complaint *

Enter Captcha code *

 

Disclaimer *

The incident reported in my complaint is true to my knowledge and no material fact has been concealed

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