Add Model Code of Conduct Violation Incident /Photo/Video

Select State    
  Select District  
  Enter Constiturncy  
  Enter Excat Location and Landmark of Incident  
  Name of Complainant  
  Mobile No.  
  Complain against Whom  
   Nature of Complaint    
  Enter Brief Description of Complaint  
  Date of Violation  
  Time of Violation  
  Upload supporting Images  
Upload supporting video files    
  Upload supporting audio files