fill the form a) Previous Grievance Acknowledgement Number, if any b) Complainant name [In case the Complainant is an entity or a registered Company/Farm, please also provide name of the authorized representative] c) Address d) Complainant’s Mobile Number e) Complainant’s Email address [compulsory to be provided – All correspondences by WBTIDC. Including acknowledgement, request for additional supporting details, queries and resolution shall be made through the given email) f) Complainant’s complete Postal Address g) Name of official / Department / Section against whom / which complaint is submitted h) Complaint category [Please select appropriate category below]: i) Related to Procurements undertaken by WBTIDCii) Related to Payment delaysiii) Related to environmental damage, health and safety issueiv) Related to service deliveryv) Related to schemes undertaken by WBTIDCvi) Related Harassment / Corruption / Bribery by any official of WBTIDC/ProjectOfficevii) Others i) Tender number j) Tender name / description k) Detail of the grievance / complaint (maximum 200 words): l) Specify Any previous communication between the complainant and WBITDC on the matters addressed in the complaint: Nature of complaint, and the perceived adverse impact on them: Alleged inconsistency with or violation of the applicable procurement rules: m) Supporting documents (if any) [in pdf format, if sent via e-mail]Max FIle Size: 20 mb Send OR