Kolkata Municipal Corporation
Common Complaint e-Form


Complaint No.
Date Of Submission of Complaint (dd/mm/yyyy)
Please use block letters only and fill in all relevant information
1.Details of person in filling the form
1a.   Full Name   Mr/Ms.
1b.   Address.
1c.   Contact Number.
1d.   Email Id.
2.Details of Complaint
2a.   Complaint Code*
*See Table on Complaint Details below.Only one Complaint can be registered per form.
2b.   Complaint Details(Fill in the required details against your complaint code)
Compalint Code Complaint Type Information Required from Citizen
01 Application for 'Mutation' submitted at an earlier date but not resolved satisfactorily** Case No.of Initial Request :
Assessee No. :
Ward No. of Premises :
02 Application for 'Issue of no Objection Certificate' submitted at an earlier date but not resolved satisfactorily** other assessment related Case No.of Initial Request :
Assessee No. :
Ward No. of Premises :
03 Application for 'Alternation of Existing building Plan' submitted at an earlier date but not resolved satisfactorily** Case No.of Initial Request :
Ward No. of Premises :
04 Request for Action against Unauthorized Construction or Insecured building and other building related Address of Unauthorized Construction :
Ward No. :
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** For these request, please follow the procedure described in the citizen charter for submitting application. This form may be used for registering the complaint only if sufficient action is not taken by authorities on the initial application.
Compalint Code Complaint Type Information Required from Citizen
05 Application for 'Change/Correction/Closure of Existing License' submitted at an earlier date but not resolved satisfactorily** Firm's Name :
Firm's Address :
Ward No. :
Initial date of submission application :
06 Shortage of water supply at premises and any water related problem Address of Premises :
Ward No. :
07 Request for removal of Garbage / Carcass Lacation of Garbage / Carcass :
Ward No. :
08 Street Light not working and related Lacation of Street Light :
Ward No. :
09 Application for 'New House Drainage Connection' submitted at an earlier date but not resolved satisfactorily ** Address of Premises :
Ward No. :
Initial Date of Application :
10 Choking of House Drainage and related Address of Premises :
Ward No. :
11 Choking of Gulley Pits Lacation of Gulley Pit :
Ward No. :
12 Repair of potholes in Roads / Footpath and related Lacation of Road / Footpath :
Ward No. :
13 Car Parking Related Information :
14 Birth / Death Certificate and Health related Related Information :
15 Market Market Name :
Stall No. :
16 Finance Accounts / Treasury /Collection Related Account No. :
Bill No. :
17 Personnel Name :
Id :
18 Advertisement Place :
Type :
19 Parks & Square Related Information :
99 Others Relevant Information :
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2c.   Reason for Complaint (Optional).
 
 
 
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For Citizen's Reference


1.This slip may be torn off and retained by the citizen for his / her records

2.The Complaint number mentioned here may be used by the citizen to track status for his / her complaint
 
Complaint No.:
 
Date of Submission of Complaint (dd/mm/yyyy):