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complaint.html
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<TABLE style="Z-INDEX: 0" id="Table10" border="0" cellSpacing="0" cellPadding="0" width="100%"><TR><TD><TABLE style="Z-INDEX: 0" id="Table3" border="0" cellSpacing="0" cellPadding="0" width="100%"><TR><TD class="PAGEHEAD" height="47"background="../Images/headerFill.jpg" width="100%"colSpan="4">शिकायतकर्ता का विवरण / Details of Complainant ::</TD></TR><TR><TD class="welcometxt" height="10" width="100%" colSpan="4"></TD></TR><TR><TD style="Z-INDEX: 0; HEIGHT: 36px" class="welcometxt" height="36" vAlign="top" width="20%"align="right">नाम / Name * ::
</TD><TD class="welcometxt" height="36" vAlign="top" width="30%" align="left"><input name="txtNameCmp" type="text" id="txtNameCmp" tabindex="1" class="ncwTextinputText" onkeyup="show_data(this.value)"" autocomplete="off" style="width:250px;Z-INDEX: 0" /><span id="RequiredFieldValidator1" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span></TD><TD style="Z-INDEX: 0; HEIGHT: 36px" class="welcometxt" height="36" vAlign="top" width="50%"
colSpan="2" align="right"></TD></TR><TR><TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="20%" align="right">पता / Address * ::
</TD><TD class="welcometxt" height="30" vAlign="top" width="30%" align="left"><textarea name="txtAddressCMP" rows="2" cols="20" id="txtAddressCMP" tabindex="10" class="ncwTextinputText" style="height:100px;width:250px;Z-INDEX: 0"></textarea><span id="RequiredFieldValidator2" style="color:Red;Z-INDEX:0;visibility:hidden;"><IMG align="absMiddle" src="..//Images/reqfield.png"></span><BR></TD><TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="50%" colSpan="2"align="center">
<TABLE id="Table4" border="0" cellSpacing="0" cellPadding="0" width="100%"><TR><TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">राज्य/ State * ::</TD><TD class="welcometxt" height="25" width="60%"><select name="ddlStateCMP" onchange="javascript:setTimeout('__doPostBack(\'ddlStateCMP\',\'\')', 0)" id="ddlStateCMP" tabindex="20" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0"><option selected="selected" value="------SELECT State------">------SELECT State------</option>
<option value="1">Andaman and Nicobar Islands</option><option value="2">Andhra Pradesh</option><option value="3">Arunachal Pradesh</option>
<option value="4">Assam</option>
<option value="5">Bihar</option>
<option value="6">Chandigarh</option>
<option value="7">Chhattisgarh</option>
<option value="8">Dadra and Nagar Haveli</option>
<option value="9">Daman & Diu</option>
<option value="10">Delhi</option>
<option value="11">Goa</option>
<option value="12">Gujarat</option>
<option value="13">Haryana</option>
<option value="14">Himachal Pradesh</option>
<option value="15">Jammu and Kashmir</option>
<option value="16">Jharkhand</option><option value="17">Karnataka</option><option value="18">Kerala</option><option value="19">Lakshaweep</option><option value="20">Madhya Pradesh</option>
<option value="21">Maharashtra</option>
<option value="22">Manipur</option>
<option value="23">Meghalaya</option>
<option value="24">Mizoram</option>
<option value="25">Nagaland</option>
<option value="26">Odisha</option>
<option value="27">Pondicherry</option>
<option value="28">Punjab</option>
<option value="29">Rajasthan</option>
<option value="30">Sikkim</option>
<option value="31">Tamil Nadu</option>
<option value="38">Telangana</option>
<option value="32">Tripura</option>
<option value="33">Uttar Pradesh</option>
<option value="34">Uttarakhand</option>
<option value="35">West Bengal</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">जनपद
/ District * ::</TD>
<TD class="welcometxt" height="25" width="60%"><select name="ddlCityCMP" id="ddlCityCMP" tabindex="30" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="--------SELECT DISTRICT--------">--------SELECT DISTRICT--------</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">पिनकोड
/ Pin No. * ::
</TD>
<TD class="welcometxt" height="25" width="60%"><input name="txtPinNoCMP" type="text" id="txtPinNoCMP" tabindex="40" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="Requiredfieldvalidator11" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span><span id="RegularExpressionValidator5" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">*</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">Email
* ::
</TD>
<TD class="welcometxt" height="25" width="60%"><input name="txtEmailCMP" type="text" id="txtEmailCMP" tabindex="50" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="Requiredfieldvalidator8" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span><span id="RegularExpressionValidator1" style="color:Red;Z-INDEX:0;visibility:hidden;">*</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">मोबाइल
न०/ Mobile Number * ::
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="60%"><input name="txtContactNoCMP" type="text" id="txtContactNoCMP" tabindex="60" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" />
<span id="Requiredfieldvalidator12" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span>
<span id="Regularexpressionvalidator8" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">*</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">लिंग
/ Sex * ::
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="60%"><select name="ddlSexCMP" id="ddlSexCMP" tabindex="70" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="------SELECT Gender------">------SELECT Gender------</option>
<option value="6">Not-Mentioned</option>
<option value="5">FEMALE</option>
<option value="4">MALE</option>
<option value="3">BOTH</option>
</TR></TABLE></TD></TR></TABLE>
<hr>
<TABLE style="Z-INDEX: 0" id="Table14" border="0" cellSpacing="0" cellPadding="0" width="100%">
<TR>
<TD class="welcometxt" height="10" colSpan="4"></TD>
</TR>
<TR>
<TD class="welcometxt" height="47" background="../Images/headerFill.jpg" width="100%"
colSpan="4">
<TABLE id="Table15" border="0" cellSpacing="0" cellPadding="0" width="100%" height="30">
<TR>
<TD class="PAGEHEAD" vAlign="middle" width="50%">पीड़ित का विवरण : क्या शिकायतकर्ता
ही पीड़ित हैं? / Details of Victim: Whether the complainant is the victim ?
</TD>
<TD vAlign="middle"><table id="rdbCmtVIC" class="ncwRadiobuttonlist" border="0">
<tr>
<td><input id="rdbCmtVIC_0" type="radio" name="rdbCmtVIC" value="1" onclick="javascript:setTimeout('__doPostBack(\'rdbCmtVIC$0\',\'\')', 0)" tabindex="80" /><label for="rdbCmtVIC_0">Yes/हाँ</label></td><td><input id="rdbCmtVIC_1" type="radio" name="rdbCmtVIC" value="0" checked="checked" tabindex="80" /><label for="rdbCmtVIC_1">No/नहीं</label></td>
</tr>
</table></TD>
</TR>
</TABLE>
</TD>
</TR>
<TR>
<TD class="welcometxt" height="10" width="1024" colSpan="4"></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="20%" align="right">नाम /
Name * :: </TD>
<TD class="welcometxt" vAlign="top" width="30%" align="left"><input name="txtNameVIC" type="text" id="txtNameVIC" tabindex="90" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="RequiredFieldValidator3" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span></TD>
<TD style="Z-INDEX: 0" vAlign="top" width="50%" colSpan="2" align="right"></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="20%" align="right">पता
/ Address * ::
</TD>
<TD class="welcometxt" height="30" vAlign="top" width="30%" align="left"><textarea name="txtAddressVIC" rows="2" cols="20" id="txtAddressVIC" tabindex="100" class="ncwTextinputText" style="height:100px;width:250px;Z-INDEX: 0"></textarea><span id="RequiredFieldValidator4" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span></TD>
<TD style="Z-INDEX: 0" vAlign="top" width="50%" colSpan="2" align="right">
<TABLE id="Table9" border="0" cellSpacing="0" cellPadding="0" width="100%">
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">राज्य
/ State * ::
</TD>
<TD height="25" width="60%"><select name="ddlStateVIC" onchange="javascript:setTimeout('__doPostBack(\'ddlStateVIC\',\'\')', 0)" id="ddlStateVIC" tabindex="110" class="NcwDropdownbox" style="width:250px;
Z-INDEX: 0">
<option selected="selected" value="------SELECT State------">------SELECT State------</option>
<option value="1">Andaman and Nicobar Islands</option>
<option value="2">Andhra Pradesh</option>
<option value="3">Arunachal Pradesh</option>
<option value="4">Assam</option>
<option value="5">Bihar</option>
<option value="6">Chandigarh</option>
<option value="7">Chhattisgarh</option>
<option value="8">Dadra and Nagar Haveli</option>
<option value="9">Daman & Diu</option>
<option value="10">Delhi</option>
<option value="11">Goa</option>
<option value="12">Gujarat</option>
<option value="13">Haryana</option>
<option value="14">Himachal Pradesh</option>
<option value="15">Jammu and Kashmir</option>
<option value="16">Jharkhand</option>
<option value="17">Karnataka</option>
<option value="18">Kerala</option>
<option value="19">Lakshadweep</option>
<option value="20">Madhya Pradesh</option>
<option value="21">Maharashtra</option>
<option value="22">Manipur</option>
<option value="23">Meghalaya</option>
<option value="24">Mizoram</option>
<option value="25">Nagaland</option>
<option value="26">Odisha</option>
<option value="27">Pondicherry</option>
<option value="28">Punjab</option>
<option value="29">Rajasthan</option>
<option value="30">Sikkim</option>
<option value="31">Tamil Nadu</option>
<option value="38">Telangana</option>
<option value="32">Tripura</option>
<option value="33">Uttar Pradesh</option>
<option value="34">Uttarakhand</option>
<option value="35">West Bengal</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right"> जनपद
/ District * ::
</TD>
<TD height="25" width="60%"><select name="ddlCityVIC" id="ddlCityVIC" tabindex="120" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="--------SELECT DISTRICT--------">--------SELECT DISTRICT--------</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">पिनकोड/
Pin No. ::
</TD>
<TD height="25" width="60%"><input name="txtPinNoVIC" type="text" id="txtPinNoVIC" tabindex="130" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="Regularexpressionvalidator6" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">Insert numeric value in Victim's PIN No.</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">Email
::</TD>
<TD height="25" width="60%"><input name="txtEmailVIC" type="text" id="txtEmailVIC" tabindex="140" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="Regularexpressionvalidator2" style="color:Red;Z-INDEX:0;visibility:hidden;">*</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">फ़ोन-मोबाइल
न०/ Phone-Mobile Number ::
</TD>
<TD height="25" width="60%"><input name="txtContactNoVIC" type="text" id="txtContactNoVIC" tabindex="150" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">लिंग
/ Sex ::
</TD>
<TD height="25" width="60%"><select name="ddlSexVIC" id="ddlSexVIC" tabindex="160" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="------SELECT Gender------">------SELECT Gender------</option>
<option value="6">Not-Mentioned</option>
<option value="5">FEMALE</option>
<option value="4">MALE</option>
<option value="3">BOTH</option>
<option value="2">THIRD GENDER</option>
<option value="1">UNKNOWN</option>
</select></TD>
</TR>
</TABLE>
</TD>
</TR>
</TABLE>
</TD>
</TR>
<TR>
<TD>
<TABLE style="Z-INDEX: 0" id="Table18" border="0" cellSpacing="0" cellPadding="0" width="100%">
<TR>
<TD class="welcometxt" height="25" vAlign="top" width="20%" align="right">जन्म
तिथि / Date of Birth * ::
</TD>
<TD class="welcometxt" vAlign="top" width="30%" align="left"><input name="txtDOB" type="text" id="txtDOB" tabindex="170" title="Enter date in dd/Mmm/yyyyy format." class="NcwTextinputText" style="height:22px;width:250px;Z-INDEX: 0" /><INPUT style="Z-INDEX: 0; WIDTH: 16px; HEIGHT: 16px" id="Button2" class="CalButton" title="Select Date from the calander."
tabIndex="180" onclick="PopupPicker('txtDOB',210,210 );" type="button">
<BR>
<span id="Requiredfieldvalidator5" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span><span id="RegularExpressionValidator4" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">Insert 01/Dec/2010 for 01/12/2010.</span></TD>
<TD class="welcometxt" height="25" vAlign="top" width="20%" align="right">धर्म /
Religion ::</TD>
<TD height="25" vAlign="top" width="30%"><select name="ddlReligionVIC" id="ddlReligionVIC" tabindex="200" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="------SELECT Religion------">------SELECT Religion------</option>
<option value="7">Not-Mentioned</option>
<option value="6">HINDU</option>
<option value="5">MUSLIMS</option>
<option value="4">SIKH</option>
<option value="3">CHIRSTIAN</option>
<option value="2">OTHERS</option>
<option value="1">UNKNOWN</option>
</select></TD>
</TR>
<TR>
<TD class="welcometxt" vAlign="top" width="20%" align="right">Whether Challenged
:: <BR>
person </TD>
<TD class="welcometxt" vAlign="top" width="30%" align="left"><select name="ddlChallengeVIC" id="ddlChallengeVIC" tabindex="190" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="1">NOT APPLICABLE</option>
<option value="2">MENTALLY</option>
<option value="3">PHYSICALLY</option>
</select></TD>
<TD class="welcometxt" height="45" vAlign="top" width="20%" align="right">जाति /
Caste ::
</TD>
<TD height="45" vAlign="top" width="30%"><select name="ddlCastVIC" id="ddlCastVIC" tabindex="210" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="------SELECT Caste------">------SELECT Caste------</option>
<option value="6">NOT-MENTIONED</option>
<option value="5">SCHEDULE CAST</option>
<option value="4">SCHEDULE TRIBE</option>
<option value="3">OTHER BACKWARD CLASSES</option>
<option value="2">GENERAL</option>
<option value="1">UNKNOWN</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; HEIGHT: 15px" class="welcometxt" height="15" vAlign="middle"
width="1024" colSpan="4" align="left"></TD>
</TR></TABLE>
<hr>
<table>
<TR>
<TD style="Z-INDEX: 0" class="PAGEHEAD" height="47" vAlign="middle" background="../Images/headerFill.jpg"
width="1024" colSpan="4" align="left">प्रतिवादी का विवरण / Details of
Respondent (Opposite party):</TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="10" vAlign="middle" width="1024" colSpan="4"
align="left"></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="20%" align="right">नाम /
Name * ::
</TD>
<TD class="welcometxt" height="30" vAlign="top" width="30%" align="left"><input name="txtNameRESP" type="text" id="txtNameRESP" tabindex="220" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="RequiredFieldValidator6" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span><BR>
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="50%" colSpan="2"
align="right"></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="20%" align="right">पता
/ Address * ::
</TD>
<TD class="welcometxt" height="30" vAlign="top" width="30%" align="left"><textarea name="txtAddressRESP" rows="2" cols="20" id="txtAddressRESP" tabindex="230" class="ncwTextinputText" style="height:100px;width:250px;Z-INDEX: 0"></textarea><span id="RequiredFieldValidator7" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span><BR>
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="50%" colSpan="2"
align="right">
<TABLE id="Table11" border="0" cellSpacing="0" cellPadding="0" width="100%">
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">राज्य
/ State * ::</TD>
<TD height="25" width="60%"><select name="ddlStateRESP" onchange="javascript:setTimeout('__doPostBack(\'ddlStateRESP\',\'\')', 0)" id="ddlStateRESP" tabindex="240" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option selected="selected" value="------SELECT State------">------SELECT State------</option>
<option value="1">Andaman and Nicobar Islands</option>
<option value="2">Andhra Pradesh</option>
<option value="3">Arunachal Pradesh</option>
<option value="4">Assam</option>
<option value="5">Bihar</option>
<option value="6">Chandigarh</option>
<option value="7">Chhattisgarh</option>
<option value="8">Dadra and Nagar Haveli</option>
<option value="9">Daman & Diu</option>
<option value="10">Delhi</option>
<option value="11">Goa</option>
<option value="12">Gujarat</option>
<option value="13">Haryana</option>
<option value="14">Himachal Pradesh</option>
<option value="15">Jammu and Kashmir</option>
<option value="16">Jharkhand</option>
<option value="17">Karnataka</option>
<option value="18">Kerala</option>
<option value="19">Lakshadweep</option>
<option value="20">Madhya Pradesh</option>
<option value="21">Maharashtra</option>
<option value="22">Manipur</option>
<option value="23">Meghalaya</option>
<option value="24">Mizoram</option>
<option value="25">Nagaland</option>
<option value="26">Odisha</option>
<option value="27">Pondicherry</option>
<option value="28">Punjab</option>
<option value="29">Rajasthan</option>
<option value="30">Sikkim</option>
<option value="31">Tamil Nadu</option>
<option value="38">Telangana</option>
<option value="32">Tripura</option>
<option value="33">Uttar Pradesh</option>
<option value="34">Uttarakhand</option>
<option value="35">West Bengal</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">जनपद
/ District * ::
</TD>
<TD height="25" width="60%"><select name="ddlCityRESP" id="ddlCityRESP" tabindex="250" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="--------SELECT DISTRICT--------">--------SELECT DISTRICT--------</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">पिनकोड
/ Pin No. ::
</TD>
<TD height="25" vAlign="top" width="60%"><input name="txtPinNoRESP" type="text" id="txtPinNoRESP" tabindex="260" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="Regularexpressionvalidator7" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">Insert numeric value in Respondent's PIN No.</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="top" width="40%" align="right">Email
::
</TD>
<TD height="25" width="60%"><input name="txtEmailRESP" type="text" id="txtEmailRESP" tabindex="270" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /><span id="Regularexpressionvalidator3" style="color:Red;Z-INDEX:0;visibility:hidden;">*</span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">फ़ोन/
Phone ::
</TD>
<TD height="25" width="60%"><input name="txtContactNoRESP" type="text" id="txtContactNoRESP" tabindex="280" class="ncwTextinputText" style="width:250px;Z-INDEX: 0" /></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" width="40%" align="right">लिंग
/ Sex ::
</TD>
<TD height="25" width="60%"><select name="ddlSexRESP" id="ddlSexRESP" tabindex="290" class="NcwDropdownbox" style="width:250px;Z-INDEX: 0">
<option value="------SELECT Gender------">------SELECT Gender------</option>
<option value="6">Not-Mentioned</option>
<option value="5">FEMALE</option>
<option value="4">MALE</option>
<option value="3">BOTH</option>
<option value="2">THIRD GENDER</option>
<option value="1">UNKNOWN</option>
</select></TD>
</TR>
</TABLE>
<hr>
<TR>
<TD class="PAGEHEAD" height="47" background="../Images/headerFill.jpg">शिकायत का
विवरण / Details of Complaint ::</TD>
</TR>
<TR>
<TD class="welcometxt" height="10"></TD>
</TR>
<TR>
<TD>
<TABLE id="Table19" border="0" cellSpacing="1" cellPadding="1" width="100%">
<TR>
<TD colSpan="3" align="center">
<TABLE id="Table20" border="0" cellSpacing="0" cellPadding="0" width="100%">
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="25" vAlign="middle"
width="571" colSpan="2" align="right">शिकायत की श्रेणी/
<BR>
Category of the Complaint ::
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="middle" width="50%" colSpan="2">
<select name="ddlCategory" onchange="javascript:setTimeout('__doPostBack(\'ddlCategory\',\'\')', 0)" id="ddlCategory" tabindex="300" class="NcwDropdownbox" style="Z-INDEX: 0">
<option selected="selected" value="------Select Category of the Complaint------">------Select Category of the Complaint------</option>
<option value="5">Bigamy / Polygamy</option>
<option value="9">Cyber Crime against women</option>
<option value="53">Dowry harassment / dowry death</option>
<option value="50">Free legal aid for women</option>
<option value="18">Gender Discrimination including equal right to education & work</option>
<option value="22">Indecent Representation of Women</option>
<option value="28">Outraging Modesty of Women</option>
<option value="31">Police Apathy against women</option>
<option value="51">Privacy of women and rights thereof</option>
<option value="52">Reproductive health rights of women</option>
<option value="43">Right to Exercise Choice in marriage</option>
<option value="49">Right to live with dignity</option>
<option value="17">Sex selective abortion / female foeticide / amniocentesis</option>
<option value="38">Sexual harassment including sexual harassment at workplace</option>
<option value="44">Stalking / Voyeurism</option>
<option value="10">Traditional practices derogatory to women rights i.e. sati pratha, devdasi pratha, witch hunting</option>
<option value="21">Trafficking / Prostitution of women</option>
<option value="48">Violence against women</option>
<option value="26">Women's right of custody of children in the event of divorce</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px; HEIGHT: 28px" class="welcometxt" height="28" vAlign="middle"
width="571" colSpan="2" align="right">शिकायत की उपश्रेणी /
<BR>
Sub-category of the Complaint ::
</TD>
<TD style="Z-INDEX: 0; HEIGHT: 28px" class="welcometxt" height="27" vAlign="middle"
width="50%" colSpan="2">
<select name="ddlSubCategory" id="ddlSubCategory" disabled="disabled" tabindex="310" class="NcwDropdownbox" style="Z-INDEX: 0">
<option selected="selected" value="0">---Select Sub-Category of the Complaint---</option>
</select></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="25" vAlign="middle"
width="571" colSpan="2" align="right">शिकायतकर्ता का विभाग(यदि लागू हो)/
<BR>
Department of the Complainant (if applicable) ::
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="middle" width="50%" colSpan="2">
<input name="txtDeptRESP" type="text" id="txtDeptRESP" tabindex="320" class="ncwTextinputText" style="width:200px;Z-INDEX: 0" /></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="25" vAlign="middle"
width="571" colSpan="2" align="right">Date of Incident ::
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="25" vAlign="middle" width="50%" colSpan="2">
<input name="txtDOI" type="text" value="02/Mar/2018" readonly="readonly" id="txtDOI" disabled="disabled" tabindex="330" title="Select the date with calander button." class="NcwTextinputText" style="width:200px;Z-INDEX: 0" /><INPUT style="Z-INDEX: 0; WIDTH: 16px; HEIGHT: 16px" id="Button3" class="CalButton" title="Select Date from the calander."
tabIndex="340" onclick="PopupPicker('txtDOI',210,210 );" type="button"></TD>
</TR><table>
<hr>
<TR>
<TD style="Z-INDEX: 0" class="PAGEHEAD" height="47" vAlign="middle" background="../Images/headerFill.jpg"
width="100%" colSpan="4" align="left"> घटना की पूरी जानकारी डालें / Insert
complete details of the incident * ::
</TD>
</TR>
<TR>
<TD style="Z-INDEX: 0" class="welcometxt" vAlign="top" width="100%" colSpan="4" align="center"><textarea name="txtCmpDetail" rows="2" cols="20" id="txtCmpDetail" tabindex="350" class="NcwTextinputText" style="height:196px;width:90%;Z-INDEX: 0"></textarea><span id="Requiredfieldvalidator9" class="welcometxt" style="color:Red;Z-INDEX:0;visibility:hidden;">
<IMG align="absMiddle" src="..//Images/reqfield.png"></span></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="30" vAlign="middle"
width="571" colSpan="2" align="right">क्या आपका मामला / परिवाद किसी न्यायालय के
समक्ष लंबित है /<BR>
Is your case pending before any court ::
</TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="middle" width="50%" colSpan="2"><table id="rdbPendingCourt" class="ncwRadiobuttonlist" border="0" style="Z-INDEX: 0">
<tr>
<td><input id="rdbPendingCourt_0" type="radio" name="rdbPendingCourt" value="1" tabindex="360" /><label for="rdbPendingCourt_0">Yes/हाँ</label></td><td><input id="rdbPendingCourt_1" type="radio" name="rdbPendingCourt" value="0" checked="checked" tabindex="360" /><label for="rdbPendingCourt_1">No/नहीं</label></td>
</tr>
</table></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="30" vAlign="middle"
width="571" colSpan="2" align="right">यदि हाँ, तो मामला / परिवाद संख्या का
उल्लेख करे
/
<BR>
if yes, then mention case number
:: </TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="middle" width="50%" colSpan="2">
<input name="txtCourtCaseNumber" type="text" id="txtCourtCaseNumber" tabindex="370" class="ncwTextinputText" style="width:200px;Z-INDEX: 0" /></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="30" vAlign="middle"
width="571" colSpan="2" align="right">क्या आपका मामला / परिवाद किसी राज्य महिला
आयोग के समक्ष लंबित है
/
<BR>
Is your case pending before any State Commission for Women
:: </TD>
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="top" width="50%" colSpan="2"><table id="rdbPendingSWC" class="ncwRadiobuttonlist" border="0" style="Z-INDEX: 0">
<tr>
<td><input id="rdbPendingSWC_0" type="radio" name="rdbPendingSWC" value="1" tabindex="380" /><label for="rdbPendingSWC_0">Yes/हाँ</label></td><td><input id="rdbPendingSWC_1" type="radio" name="rdbPendingSWC" value="0" checked="checked" tabindex="380" /><label for="rdbPendingSWC_1">No/नहीं</label></td>
</tr>
</table></TD>
</TR>
<TR>
<TD style="Z-INDEX: 0; WIDTH: 571px" class="welcometxt" height="30" vAlign="middle"
width="571" colSpan="2" align="right">यदि हाँ, तो मामला / परिवाद संख्या का
उल्लेख करे
/
<BR>
if yes, then mention case number ::
<TD style="Z-INDEX: 0" class="welcometxt" height="30" vAlign="middle" width="50%" colSpan="2">
<input name="txtSWCRegNumber" type="text" id="txtSWCRegNumber" tabindex="390" class="ncwTextinputText" style="width:200px;Z-INDEX: 0" /></TD>
</TR>
<TD align="center"><input type="submit" name="btnSubmit" value="Submit" onclick="" /></TD>