.elementor-619 .elementor-element.elementor-element-842936a{margin-top:50px;margin-bottom:50px}.elementor-619 .elementor-element.elementor-element-53e245b .aux-widget-inner>*{text-align:center;margin-left:auto !important;margin-right:auto !important}.elementor-619 .elementor-element.elementor-element-8d59ddf input:not([type=submit]){transition:all ease-out .3s}.elementor-619 .elementor-element.elementor-element-8d59ddf input[type=text]{transition:all ease-out .3s}.elementor-619 .elementor-element.elementor-element-8d59ddf input[type=email]{transition:all ease-out .3s}.elementor-619 .elementor-element.elementor-element-8d59ddf select{transition:all ease-out .3s}.elementor-619 .elementor-element.elementor-element-8d59ddf textarea{transition:all ease-out .3s}.elementor-619 .elementor-element.elementor-element-8d59ddf input[type=submit]{transition:all ease-out .3s}.elementor-619 .elementor-element.elementor-element-65a79a5>.elementor-widget-container{padding:50px 100px 50px 150px}<style>.button,wpcf7-submit{background-color:#122454;border:none;color:#fff;padding:5px 12px;text-align:center;text-decoration:none;display:inline-block;font-size:16px;margin:4px 2px;cursor:pointer}</style><div class="frm_forms  with_frm_style frm_style_formidable-style" id="frm_form_3_container"><div class="frm-show-form  frm_js_validate "><div class="frm_form_fields "><fieldset><legend class="frm_screen_reader">* Mandatory Fields</legend><h3 class="frm_form_title">* Mandatory Fields</h3><div class="frm_fields_container"><div id="frm_field_30_container" class="frm_form_field  frm_html_container form-field"><h1>Complainant Information</h1></div><div id="frm_field_11_container" class="frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half"><label class="frm_primary_label">Name:<span class="frm_required">*</span></label>[text* Name id:name] </div><div id="frm_field_12_container" class="frm_form_field form-field  frm_required_field frm_top_container frm_half"><label class="frm_primary_label">Father's / Husband's Name:<span class="frm_required">*</span></label>[text* FathersHusbandsName id:fname] </div><div id="frm_field_15_container" class="frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half"><label class="frm_primary_label">CNIC#:<span id="cnicspan" class="frm_required">*</span></label>[text* CNIC id:cnic maxlength:13] </div><div id="frm_field_16_container" class="frm_form_field form-field  frm_top_container frm_half"><label class="frm_primary_label">Old CNIC#:<span id="oldcnicspan" class="frm_required"></span></label>[text OldCNIC id:oldcnic maxlength:13] </div><div id="frm_field_17_container" class="frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half"><label class="frm_primary_label">Address:<span class="frm_required">*</span></label>[text* Address] </div><div id="frm_field_31_container" class="frm_form_field form-field  frm_required_field frm_top_container frm_half"><label class="frm_primary_label">City:<span class="frm_required">*</span></label>[text* City id:city] </div><div id="frm_field_18_container" class="frm_form_field  frm_html_container form-field"><hr></div><div id="frm_field_19_container" class="frm_form_field form-field  frm_top_container frm_first frm_half"><label class="frm_primary_label">Residential Phone#:<span class="frm_required"></span></label>[text ResidentialPhone id:rp] </div><div id="frm_field_20_container" class="frm_form_field form-field  frm_top_container frm_half"><label class="frm_primary_label">Office Phone#:<span class="frm_required"></span></label>[text OfficePhone id:op] </div><div id="frm_field_21_container" class="frm_form_field form-field  frm_top_container frm_first frm_half"><label class="frm_primary_label">Mobile Number#:<span class="frm_required"></span></label>[text MobileNumber id:mn] </div><div id="frm_field_22_container" class="frm_form_field form-field  frm_required_field frm_top_container frm_half"><label class="frm_primary_label">Email Address:<span class="frm_required"></span></label>[email EmailAddress] </div><div id="frm_field_23_container" class="frm_form_field  frm_html_container form-field"><h3 style="background-color:#f2f2f2; padding:3px;color:#000;">Complaint Details</h3></div><div id="frm_field_24_container" class="frm_form_field form-field  frm_top_container"><label class="frm_primary_label">Name of Institution against which complaint is being lodged. In case of more than one complaint separate by serial#:<span class="frm_required"></span></label>[textarea NameofInstitutionagainst x2] </div><div id="frm_field_25_container" class="frm_form_field form-field  frm_required_field frm_top_container horizontal_radio"><label class="frm_primary_label">Have you approached the above financial institution?<span class="frm_required"></span></label>[radio financialinstitution default:1 "Yes " "No"] </div><div id="frm_field_26_container" class="frm_form_field form-field  frm_top_container"><label class="frm_primary_label">If yes,what was their response ? Please write briefly & provide name of institution:<span class="frm_required"></span></label>[textarea Pleasewritebriefly x3] </div><div id="frm_field_26_container" class="frm_form_field form-field  frm_top_container"><label class="frm_primary_label">Upload CNIC front & back image:(Supported formats jpeg,jpg,pdf)<span class="frm_required"></span></label>Front (max size 1MB) [file* file-719 id:att1 filetypes:jpg|jpeg|pdf limit:1mb] Back (max size 1MB) [file file-319 id:att2 filetypes:jpg|jpeg|pdf limit:1mb] </div><div id="frm_field_28_container" class="frm_form_field  frm_html_container form-field">[acceptance accept-this-1] I have understood <a href="https://datacheck.com.pk/wp-content/uploads/2018/10/SUMMARY-OF-RIGHTS.pdf" target="blank"><b>Summary of Rights</b></a>[/acceptance] </div>[captchac captcha-74 fg:#fff bg:#43494C size:1] [captchar captcha-74 id:yc class:wpcf7-text watermark "Enter below code"] [submit id:sb class:button "Send"] <table><tr><td></td><!--tr><td><button id="sb" type="submit" class="button">Send</button></td--><!--td><button class="button"><a style="color:white;" href="https://datacheck.com.pk/contact-us/">Cancel</a></button></td--></tr></table></div></fieldset></div></div>