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Your Name
Your Address Details
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Address :
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City :
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Pincode :
Your Contact Details
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Mobile No.:
+91
Alternate Mobile No.:
+91
Email:
Details of the Information:
Details of Website / Computer Resource / Intermediary / Offending Information hosted on the website
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URL/ Web Address:
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Upload Screenshot:
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Date & time at Which screenshot was taken:
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Name of the Intermediary ?
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Facebook Inc.
Google Inc.
Twitter Inc.
Instagram Inc.
Youtube LLC.
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Name of the Intermediary
URL of the intermediary:
30 * 51 =
Example:
10 + 22 = 32
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