Victim Information Form
पिडितको जानकारी फारम

Any information you provide via this form will remain confidential and will only be used for the purposes of helping and finding this person. This information will not be disclosed to any third party person.

NOTE: You have the choice to fill out this form anonymously. Your personal information is not needed for you to submit an inquiry. However, it might be helpful for us to contact you just in case we find some results. But it is entirely up to you.

पिडितको जानकारी फारम

तपाइँले यस फारमको माध्यमबाट प्रदान गर्नुहुने कुनैपनि सूचना गोप्य रहनेछ र पिडितको मद्दत गर्न र खोजी गर्ने उद्देश्यका लागि मात्र प्रयोग गरिनेछ। यो जानकारी कुनै पनि तेस्रो पार्टी व्यक्तिलाई खुलासा गरिदैन।

यो फारम भर्दा परिचयको खुलासा गर्न अनिवार्य छैन तर केहि नतिजा पत्ता लगाउने क्रममा तपाईलाई सम्पर्क गर्न उपयोगी हुन सक्छ।

I am a..... *
First Name of Person Found
First name of person found. (भेटाएको व्यक्तिको नाम)
Last Name of Person Found
Last name of person found. (भेटाएको व्यक्तिको थर)
Sex of Person Found
भेटाएको व्यक्तिको लिङ्ग
Age of Person Found
Please input the age of child. (भेटाएको व्यक्तिको उमेर)
Date when person was found
Enter the date of rescue in A.D. (भेटाएको व्यक्तिलाई उद्धार गरिएको मिति)
MM
/
DD
/
YYYY
Father's Name of person found
भेटाएको व्यक्तिको बुबाको नाम
Location where person was found
Describe where the person was found. (व्यक्ति भेटा परेको ठाउँ)
Case Description
Describe in a few words the detail surrounding the child's case. (अवस्थाको वर्णन)
Add a photo of the person found
व्यक्तिको फोटो राखिदिनुहोला
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