HCJGSICC

हिंदी

Complainant Name *

Email *

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

ID No.

Address*

Aadhar No.*

Phone/Mobile No. *

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

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 *

Disclaimer *

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

* Mandatory fields.