Report Human Rights Violations
Please fill the information regarding the human rights violations you have faced or witnessed.
First & Last Name (Nickname): *
Your answer
City, Country: *
Your answer
Gender Identity / Sexual Orientation: *
Marital Status: *
Are you an asylum seeker? *
What type of human rights violation you want to report? *
Details of the human rights violation you want to report: *
Your answer
Date of the Incident: *
MM
/
DD
/
YYYY
Location of the Incident: *
Your answer
Do you have any proof for the matter such as photos, audio, video, email, images of documents, etc? *
If you have any proof please email it to use using report@dharmamartia.org.
Any other comments? *
Your answer
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