SHe-Box | MINISTRY OF WOMEN & CHILD DEVELOPMENT

Step 1/4 - Details of Complainant

* Complainant Behalf ?

Self
Any Other

* Complainant Work Status

* Name of the Complainant

* Mobile Number

* Email ID

Step 2/4 - Details of workplace where the incident of sexual harassment occured

* Select State

* Select Department

Select workplace where incident of sexual harassment occured

Select District

Select Sub District

Pincode

* Name of the Office

* Name of the Contact Person

Email Id of Contact Person

Mobile No of Contact Person

Pincode

* Office Address

Step 3/4 - Details of the Respondent

* Register complaint with

IC
LC
Note : Select LC where total no. of employees in organization is less than 10

* Name of Respondent

* Designation

* Email ID

Mobile No.

*Working relationship of respondent with complainant

* Please specify

* Are the details of workplace of the respondent same as that of the workplace where the incident of sexual harassment occured?

* Select State

*Select Department

Select Office

Select District

Select Sub-District

* LC Name

* Name of the Office

* Name of the Contact Person

Email Id of Contact Person

Mobile No of Contact Person

* Office Address

* Are there more than one respondents ?

* Are they from same organization?

Name(s) & contact details of other person(s) respondent:

Name	Designation	Email	Mobile	Action

Name(s) & contact details of other person(s) Respondent :

Name	Designation	Ministry/Department	Email	Mobile	Action

Step 4/4 - Details of Complaint

* Have you already registered your complaint with IC ?

Reference No. (If any)

* Date of lodging a complaint with .

* Reason for delay

* Type of Harassment

* Brief description of the incident with relevant facts (Max 500 words )

Please Upload Supporting Document (PDF,JPEG,PNG Only) if any

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Complaint Form

If you face any difficulty, Please contact us on techsupport[hypen]shebox[at]gov[dot]in

Complaint Form

State Government

If you face any difficulty, Please contact us on techsupport[hypen]shebox[at]gov[dot]in