AIMED

Registration Of Complaint

Complaint Registration Fee:
A non-refundable amount of ₹1,000 (Including GST) is payable for registering a complaint. Please fill in all mandatory fields before proceeding to payment.

👤 Complainant Details

Name *

Email ID *

Mobile No. *

Organisation *

State *

City *

Pincode *

GST No.

Types of Complaints *

Nature of Complaint *

Address *

Complaint *

Upload Document Only PNG/JPEG/PDF format

🏢 Respondent Details

Company Name *

Name *

Email ID *

Mobile No. *

I hereby declare that the information furnished above is true and correct to the best of my knowledge. I understand that providing false information may lead to rejection of my complaint.

Payable Amount = Rs. 1000