Reporting Form

This form has been designed to collect information related to human rights violations securely and confidentially.

All data will be used for human rights documentation purposes only, with measures taken to protect privacy and ensure no one is put at risk.

This form is for collecting information related to human rights violations in a secure and confidential manner.

full name(Required)

Age

Profession(Required)

Address(Required)

Type of violation

assassination

hiding

arrest

Date

Time

Location(Required)

Street Address Address Line 2 City State / Province / Region Country

Description of the responsible force

Eyewitnesses

Evidence available

Name

Relationship with Victim

Contact number

Option to hide identity

Yes, I wish to conceal my identity for safety.

No, I have no objection to mentioning my details.

Victim photos

Drop files here or

Max. file size: 512 MB.

Previous reports

Drop files here or

Max. file size: 512 MB.

Medical documents

Drop files here or

Max. file size: 512 MB.

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