RAC-whistle blowers reporting form
Date of reporting *
fill out this form
Full Names
Enter your full names above, Optional
Your answer
Gender *
Choose your Gender from the list below
Telephone Number *
Provide a telephone contact on which we can give you feed back
Your answer
Provide the name of your subcounty
Your answer
Choose the name of your district from the list below
Issue details *
Briefly give the details of the issue your whistle blowing on
Your answer
Money Value
estimate this issue in terms of money, by giving a cost
Your answer
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