COMPLAINT FORM
(Will remain confidential)
1) Victim's Detail
Name *
Father's Name
Mother's Name
Address
Permanent Address
Temporary Address
Current Address
Phone Number
Mobile Number
Email *
Gender
Martial Status
Nationality
Age (in Years)
Occupation
Caste
Preferred (Vernacular) Language
Religion
Education
Disability
Member of any organization: (Optional)
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