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Complaint form Name of the Complainant: Correspondence Address of the Complainant: Mobile / Landline No. : Name of the Industry/Person against whom the Complaint is lodged: Address of the Industry/Person against whom the Complaint is lodged : Nature of Complaint (Briefly write about the happenings) Nature of Pollution(Air/Water/Sound) : Description of location sought to be inspected where pollution is occurs Please Enter the code :
