Gri Type * --Select-- Birth Death Marriage Registration Sanitation Animal Issues Encroachment Unauthorized Construction - Buildings License Advertisement Fire Safety Street Light Taxation Public Health ME Door To Door Required

Sub Type * --Select-- Required

Municipality * --Select-- MC Ambala Sadar Required

Ward * --Select-- Required

Location * --Select-- Required

Request *
Enter Brief Description and Specific Location of your request. Maximum 2000 characters. [त्वरित विवरण और आपके अनुरोध का विशिष्ट स्थान दर्ज करें. अधिकतम 2000 अक्षर.] Required

Applicant Name * Required

Applicant Email ID * Required Invalid Email

Office Phones

Home Phones

Mobile No. * Required

Property ID * Required

Address
Enter your Address. We may have a need to reach you. Maximum 256 characters. [आपका पता दर्ज करें. हमे आप तक पहुँचने की आवश्यकता हो सकती है. अधिकतम 256 अक्षर.]

Upload Document if any (ie PDF or Image)

Upload Document if any (ie PDF or Image)

Security Code *
Required