Electric Fault

Fill The Details Below To Send Complain

We will get back to you soon...

MOBILE/LANDLINE NO * MOBILE/LANDLINE NO REQUIRED MOBILE SHOULD BE 10 DIGIT ONLY

FULL NAME * FULL NAME REQUIRED

ADDRESS * ADDRESS REQUIRED

PLEASE SELECT STATE * SELECT STATE

PLEASE SELECT CITY * SELECT CITY

PLEASE SELECT NEAR FRANCHISE AREA * SELECT NEAR FRANCHISE AREA

ALTERNATE MOBILE/LANDLINE NO

FAULT * FAULT REQUIRED

UPLOAD FAULT IMAGE
Note: Only upload .jpg or .png images

COMPLAIN DESCRIPTION