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Television Programme Complaint Form [First level]

Details of complaint Please complete these details in full
Name of the Channel*
Programme Title / Broadcast Item*
Programme Date: dd/mm/yr*
Time of the broadcast (s) *

*Fields mandatory

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 NBA website (alternatively, you may attach your complaint to this Form).

Complainant: Please complete these details in full
Mr. / Mrs. / Ms.*
First Name*
Complete address with pin code*
Mobile No.*
Phone No.

*Fields mandatory

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)