[contact-form to=”nasreen.culcutta@gmail.com” subject=”Garievance Message”][contact-field label=”First Name*” type=”name” required=”1″][contact-field label=”Last Name*” type=”name” required=”1″][contact-field label=”Phone Number *” type=”text” required=”1″][contact-field label=”Email address *” type=”email” required=”1″][contact-field label=”Full postal address *” type=”text” required=”1″][contact-field label=”PIN Code *” type=”text” required=”1″][contact-field label=”Link to the content for which complaint needs to be filed : *” type=”url” required=”1″][contact-field label=”Date of publication : *” type=”date” required=”1″][contact-field label=”Exact details of the content that you feel contains a violation. Please specify exact words or para of the article, or exact time stamps for videos and podcasts. *” type=”text” required=”1″][contact-field label=”Please summarise details of the content which is in violation and specify how it is a violation with respect to the Code of Ethics. Also, please specify the exact section from the Code of Ethics that you are referencing in the violation/complaint. * Code of Ethics: http://bit.ly/pcinojc” type=”text” required=”1″][contact-field label=”I hereby declare that I am resident of India and all the information furnished above is true, complete and correct to the best of my knowledge and belief.” type=”radio” required=”1″ options=”yes”][contact-field label=”Name*” type=”name” required=”1″][contact-field label=”Date*” type=”date” required=”1″][/contact-form]