Online Complaint Form

A. Complainant Details

Full Name of the Complainant

Mobile Number

Email ID

Aadhaar Number

Residential Address Line 1

Residential Address Line 2

District

Taluk / City / Town

PIN Code

B. Complaint Details

Type of Complaint

Brief Description of the Complaint

Date of Incident

Time of Incident (if known)

District where incident occurred

Place of Incident (Exact location with landmark)

C. Animal Details (if applicable)

Type of Animal

Number of Animals involved

Condition of the Animal(s)

D. Accused / Respondent Details (if known)

Name of the Person / Organization

Accussed Address Line 1

Accussed Address Line 2

District

Taluk / City / Town

PIN Code

Contact Number (if available)

E. Evidence Upload

Upload Photos (Optional) Accepted formats: gif, jpeg, jpg, png

Upload Videos (Optional) Accepted formats: avi, mp4, mpeg

Upload Supporting Documents (Optional) Accepted formats: pdf, doc, docx, txt

F. Declaration

I hereby declare that the information furnished above is true and correct to the best of my knowledge and belief. I understand that providing false information is punishable under applicable laws.

Place

Date