JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Headline 8 Grievance Redressal Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Full Postal Address (Mention Pin Code)
*
Your answer
Link to the content for which complaint needs to be filed:
*
Your answer
Date of publication
*
MM
/
DD
/
YYYY
Exact details of the content that you feel contains a violation. Please specify exact words or paragraph of the article, or exact time stamps for videos:
*
Your answer
Please summarize 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
Your answer
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.
Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
