Block

You have been blocked for violating the policy multiple times.
Given reason: Violating ___
Issued by: your name
Expires on: date

Usage Example

{{Block|Violating [[GTA Wiki:Image Policy|Image Policy]]|Patroller [[User:Dodo8|Dodo8]]|20 May 2050}} produces:

Block

You have been blocked for violating the policy multiple times.
Given reason: Violating Image Policy
Issued by: Patroller Dodo8
Expires on: 20 May 2050