JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Online Payment Issue Resolution Form
Kindly fill the details.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Select the service for which the payment was made?
*
Choose
Property Tax
Professional Tax
Enter Service Id (Tenament No. / PEC No. / PRC No.)
*
Your answer
Payment Date
*
MM
/
DD
/
YYYY
Paid Amount
*
Your answer
Payment Order No. / Transaction Id
Your answer
Applicant Name
Your answer
Phone / Mobile Number
*
Your answer
Email Id
*
Your answer
Remarks
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
