தமிழ்
Complaint Form
Name
*
Mobile number
*
Invalid mobile number
Complaint Type
*
-- Select Complaint Type --
Bio Medical Equipments
Facility and Maintenance
Location
*
-- Select Location --
Ground Floor
First Floor
Second Floor
Third Floor
Select location
Department
*
Please Enter your department
Nature of Complaint
*
Enter Complaint Letter
Image
Submitted By
*
Enter Employee Name with Employee ID
Complaint Description
*
Submit
