Reporting sexual and gender based violence

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Faculty of Medicine, University of Ruhuna

The information you provide will only be accessed by the Senior Student Counselor and Dean, Faculty of Medicine. The anonymity of the complainant and the confidentiality of the information provided will be strictly maintained at all times.

Complete the questions below to submit an anonymous report

1. Are you reporting this on behalf of:

Yourself

Somebody else

Clear selection

2. Gender of the victim

Female

Male

Clear selection

3. Type of harassment

Verbal

Physical

Emotional

Sexual (Physical/ Verbal/ Visual)

Other:

Clear selection

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This form was created inside of University of Ruhuna.