THE SCHEDULE [see rule 8 of these Rules] FORM A Personal Information Complainant Name (*) Complainant Email Address/ Postal address/Phone Number (*) Complainant’s CNIC (*) Grievances Detail Nature of Grievances/ Objectionable contents (*) (Types of contents found on the subject page) Description of complainant (*) (A brief description of objectionable content and how does it relate to content category-maximum 500 characters) Universal Resource Locator (URLs/ Links(*) Attachment(*) (URL/link snapshot/copy of objectionable content found on the reported. All (*) Fields are mandatory For official use only File No. ________________ Legal Provision(s) Relevant Legal Provision (Reference of relevant law related to content due to which the above specified link shall be blocked) Description of relevant legal provision ____________________________________________________________________________________ [ ] ( ) 12

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