* Enter valid retired/retiring office.
* Maximum of 50 characters allowed.
* Permissible Characters ([a-z A-Z 0-9,/()])
* Enter valid PPO number.<br />
* Maximum of 30 characters allowed.<br />
* Permissible Characters (a-z A-Z 0-9 / -)
* Enter valid Name.<br />
* Maximum of 50 characters allowed.<br />
* Permissible Characters ([a-z A-Z 0-9. )
* Enter valid Email ID.<br />
* Permissible Characters (A-Z a-z 0-9 @._-)
<ul><li>Please Enter Valid Address1</li><li>Permissible Characters (a-zA-Z 0-9 ./,_()- )</li><li>Maximum 50 characters are allowed with address1 field</li></ul>
<ul><li>Please Enter Valid Address2 </li><li>Permissible Characters (a-zA-Z 0-9 ./,_()- )</li><li>Maximum 50 characters are allowed with address2 field</li></ul>
<ul><li>Please Enter Valid Address3 </li><li>Permissible Characters (a-zA-Z 0-9 ./,_()- )</li><li>Maximum 50 characters are allowed with address3 field</li></ul>
* Enter valid PIN number.<br />
* Maximum of 6 characters allowed.<br />
* Permissible Characters (0-9)
* Enter valid Mobile number.<br />
* Maximum of 10-15 characters allowed.<br />
* Permissible Characters (0-9)
(Mobile Number)eg : 9999999999
Select Bank Name
Please enter valid account number
Enter Bank Account Number
characters )
(Allowed characters are A-Z a-z 0-9 /,.-_() )
* Enter valid Grievance Description.<br />
* Maximum of 4000 characters allowed.<br />
* Permissible Characters (a-z A-Z 0-9 /-.,( )_)
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