India snakebite reporting form
We are working alongside several like-minded organizations, and individuals with the common objective of mitigating snakebites. Indian Snakebite Initiative is one such program working on multiple aspects to understand the basis of snakebites in the country. It is our collective effort along with our allies to log all traceable snakebite incidents in India, and their outcomes. This information will work as a ready reference for anyone who wants to use it for snakebite mitigation work in India. Click on the snakebite register to see the submitted entries.

If you know of a snakebite, please report it via the form below. This will help us emphasize on the magnitude of the issue, and thus will help us get the necessary support from various stakeholders.

Name of contributor (Full name)
Your answer
Email:
Your answer
Location of contributor (State, district, city, etc.)
Your answer
Date of snakebite
MM
/
DD
/
YYYY
Time of snakebite (please use your best judgement in absence of exact time details)
Time
:
Species of snake
Species identification accuracy
Inaccurate
Very accurate
State
Your answer
District
Your answer
Taluka
Your answer
Village
Your answer
City
Your answer
PIN code
Your answer
Victim name
Your answer
Victim age (in years)
Your answer
Victim gender
Victim's occupation
Your answer
Activity of victim when bitten
Your answer
Place of incident (farmland, house, storage, etc.)
Your answer
Mention bitten body part (hand, leg, etc.)
Your answer
Victim's status
When was this reported
MM
/
DD
/
YYYY
Source (newspaper web link, URL, personal information, etc.)
Your answer
Any other relevant information
Your answer
Submit
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