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REPORT A CORRUPTION


Use this form to report corruption and to authorize us to take necessary action.



(All fields marked with * are mandatory.)

DETAILS OF THE GOVERNMENT ORGANISATION

1.Name of the Government Organisation *:
2.State *:
3.City *:
4.Department in the Government Organisation *:
5.Location of the Government Department in the city *:
6.Designation of Government Official *:
7.Name of Government Official(if known) :
8.Website of Government Organisation :
9.Address of the Government Organisation *:

COMPLAINT DETAILS

Please give details regarding your exact problem, if there is additional information use the "Browse" to attach documents of your choice.
1.Period of your incident *
2.What service did you require from Government Organisation *
3.What problem did you face *
4.What was the bribe amount*
5.Did you pay bribe? If yes why *
6.Could you get your work done without paying bribe? If so how?*
6.What has been the result of your action?*

TO ATTACH ADDITIONAL INFORMATION :

Details of Content *
Attach additional information or image :

YOUR SUGGESTION:

Please give your suggestion for the Head of the Government, ACB, CBI, DVAC to prevent or avoid similar situation.
Your suggestions for the head of that government department to stop / prevent such incidents :
Suggestions for the Anti Corruption Bureau (ACB) / Central Bureau of Investigation (CBI) / Directorate of Vigilance and Anti-Corruption(DVAC) / ED: 
Your suggestions for other citizens to avoid a similar situation:

YOUR CONTACT DETAILS

Name *:
Profession*:
Address *:
City *:
State *:
Pincode*:
Phone*:
Email*:
Enter the string shown in the image *

The above will be confidential and will not be shared with third party, except Government Department/Agencies.