(
*
) Denotes Mandatory Field(s).
Suggestions
Appreciation
Complaints
Suggestions No.
:
104
Date:
18 November, 2014
*
Name
:
Can't left blank
Address
:
*
City
:
Can't left blank
State
:
Country
:
Pin
:
Phone
:
-
-
Phone no. should be integer !
*
Mobile
:
-
Can't left blank
Mobile no. should be integer !
*
Email
:
Can't left blank
Invalid Email Id
*
Comments
:
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