Department Of Excise
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Raise Complaint - Online Vigilance & Enforcement Form
Select Premises Type :
License Premises
Non-License Premises
Complainant details
Name:
*
Please enter Name
Mobile Number:
*
Please enter Mobile umber
Licensee Details
License Type:
*
-Select License Type-
Manufacturing
RetailSale
Wholesale
Import
Please select License Type
License:
*
-Select License Name-
Please select License
District:
*
-Select District-
Bajali
Baksa
Barpeta
Bishwanath
Bongaigaon
Cachar
Charaideo
Chirang
Darrang
Dhemaji
Dhubri
Dibrugarh
Dima Hasao
Goalpara
Golaghat
Hailakandi
Hojai
Jorhat
Kamrup
Kamrup Metropolitan
Karbi Anglong
Karimganj
Kokrajhar
Lakhimpur
Majuli
Morigaon
Nagaon
Nalbari
Sivasagar
South Salmara
Sonitpur
Tinsukia
Udalguri
West Karbi Anglong
Tamulpur
Please Select District
Circles:
*
Place of Occurrence :
*
Please select Place of Occurrence
Attachment
(Photograph/document etc) :
Remarks by Complainant:
*
Please enter Remark
Verification Code
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Enter the Verification Code
*
Please Enter Valid Verification Code
Please Enter Valid Captcha
One Time Password
Enter One Time Password
Please Enter Valid OTP Number
Verification Code
*
Get New Code
Enter the Verification Code
*
Please Enter Valid Verification Code
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