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Grievance Registration Form

For Pensioners of Kolkata Telephone District, Kolkata

Pensioners Grievances Status

Grievance Pertains To*	:	O/o Pr CCA CTD, BSNL
Name*	:
PPO Number*	:
Complaint Category	:	Pensioner Family Pensioner
Address*	:
Pincode	:
State	:
Phone	:	(eg : 033-222222222)
Mobile	:	(eg : 919999999999)
Email	:
Grievance*	:
Have you earlier lodged the grievance to the above organization on the same subject?*	:	Yes No

Type the characters you see in the picture*	:

I hereby state that the facts mentioned above are true to the best of my knowledge and belief.

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