CGRMS
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Please note that if your grievance is related to issuance of PM-JAY e-card, then please first ensure that your name exist in 2011 SECC data as this scheme is based on this data only. To check your eligibility click here.
Date of Grievance :
Enter UTN (if Available) :
(e:g REF-13029 Or 13029 )
  Name of Complainant : *
Grievance by : *   On Behalf Of :
        Gender :
Grievance Against : *   Relationship :
State : * Mobile No. :
District : * Phone No. :
Ayushman Bharat ID (if available) : Email ID :
Stakeholder Name : * Address of Complainant :
 Maximum  200   characters
Grievance Category : *
Grievance Type : *
Upload Documents  :
(Upload .pdf or .doc/.docx or .xls/.xlsx file)
   
  Grievance Details : *
 Maximum  1000   characters
Fill the Shown value :
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