Complaint From

Name of the Broadcast

News Title / Broadcast Item

News Date

Time Of the BroadCast

Please complete this Section, summarising the main points of your complaint and the violation of the Code of Ethics and Guidelines, which are available on the MIB website https://mib.gov.in/ (alternatively, you may attach your complaint to this Form).

Complaint

Please complete these details in full

Your First name

Your Last name

Complete Address with the Pin code

Mobile Number

Your email

To finish, please read through the above Form to ensure all your details are correct. You may post, e-mail or fax this Complaint Form to the broadcaster. The relevant contact details are available on the website.

Date (Complaint Form Completed)