The winger is alleged to have carried out a dangerous tackle on the Northampton Saints wing, Vas Artemyev, during the second half of the match.
The complaint was made by Citing Commissioner, Yves Thieffine (France).
The independent Judicial Officer appointed to hear the complaint is Simon Thomas (Wales), and the hearing will take place on Thursday, 18 October 2012.
Law 10.4 (j) - Lifting a player from the ground and either dropping or driving that player's head and/or upper body into the ground whilst the player's feet are off the ground.
Under the IRB Recommended Sanctions for Offences Committed within the Playing Enclosure, Law 10.4 (j) carries the following penalties: Low End: 4 weeks; Mid Range: 8 weeks; Top End: 12+ to 52 weeks. Note that under the new 'IRB Sanctions for Foul Play' table that was introduced this season, the entry point for sanctions for tip tackles was increased by 33 per cent.