Corruption ROKO Form

Corruption Report On Karmayog Online – Corruption ROKO

(a complaint and suggestion form to reduce corruption in any government department in India)
If you have faced any problem in any government organisation and would like to help in improving the system there, please fill details of the incident below. These will be a) displayed on Karmayog in ww.karmayog.org/roko for the authorities and media to take action on.
Please do not fill the form in all capitals. Please do not repeat the same sentence or information while filling in the form.

To complain about civic issues in Mumbai (BMC related), fill the SATYA form only.
To complain about any other issue regarding a commercial or government organisation, fill the WARN form only.
If you need any help or advice, fill the ASK form only.
To bring people together for a particular cause or issue, fill the UNITE form only.

A: Details of the government organisation

1. Name of government organisation *

e.g. Maharashtra Housing Board

2. State *

3. City *

4. Department in the government organisation *

e.g. Accounts Department

5. Location of the government department in the city *

e.g. Bandra East

6. Designation of government official involved *

e.g. Junior Accountant

7. Website of the government organisation

8. Address of the government organisation
Please provide complete postal address so that the complaint will be forwarded

B: Complaint Details

Please be precise and to the point regarding your complaint. Do not give a background / history / reasons for your complaint as this often confuses the issue, and we need to know only the exact problem point. If you have any additional information that you would like to share, please use the "Browse" feature that is provided to attach documents of your choice.

1. Period of your incident *

2. What services did you require from the government organisation? *

3. What problem/s did you face? *

4. What was the bribe amount? *

(either 5a or 5b is compulsory)
5 a) Did you pay the bribe? If yes, why?

5 b) Could you get your work done without paying the bribe? if so, how?

6. What has been the result of your action? *

C: To attach additional information

Details of Content

Attach additional Information

Browse File should not exceed 2 MB (to attach documents such as correspondence with government department, photographs, press articles, detailed story, etc.)

Attach additional Information

Browse File should not exceed 2 MB

D: Your Suggestions
Please make practical and implementable suggestions that can be converted to policy or procedural changes within the concerned government organisation. Please assume that the government officer at a high enough level has a genuine desire to resolve / prevent such problems so please be as polite as you can.

1. Your suggestions for the head of that government department to stop / prevent such incidents *

e.g. changes in procedure, use of technology, attitudinal change of staff, display of information on signboards, website, leaflets, etc

suggestion 1

suggestion 2

suggestion 3

2. Your suggestions for the Anti Corruption Bureau (ACB) / Central Bureau of Investigation (CBI) *

e.g. to issue directions to government department; to catch the corrupt official/s, etc.

suggestion 1

suggestion 2

suggestion 3

3. Your suggestions for other citizens to avoid a similar situation *

(Please do not suggest that they resist offering a bribe, as that is not the purpose of this form.)

suggestion 1

suggestion 2

suggestion 3

E: Your Contact Details

Are you willing to reveal your contact details?

YesNo

F: To receive a confirmation email

If you want a confirmation email from us, please write your email id in the textbox.
Please note that this will neither be displayed nor given to the government department.

G: Your Location

State *

City *