Delhi Minorities Commission seeks information of victims of anti-NRC protests in Jamia (Delhi)
(A Statutory Body Set Up by Delhi Minorities Commission Act, 1999)
Government of NCT of Delhi
C-Block, 1st Floor, Vikas Bhawan, I.P. Estate, New Delhi 110002 Tel. 011-23379756, 011-23370823
Website: http: //

If you are a victim yourself or you know a victim please fill this form with as much information as possible. Victims of physical injury as well as those whose property has been damaged or lost may submit this form.

To check you are filling the right form, please visit our Chairman's Facebook page and click on the link there.
Email address *
Are you yourself a victim *
Your name if you replied No above
Name of the Victim (Full) *
Were you arrested/detained? *
If yes above, which police station, when, other details
Victim is a *
Age *
Gender *
Give details of occupation, or if you are a student mention your course/year/roll no.) *
Email (secondary)
Phone number *
Whatapp number (other/secondary)
Address (Present) with Pincode *
Address (Permanent) with Pincode
Date of injury/loss/protest *
Time of injury/loss/damage/protest *
Location/place of injury/loss/protest *
Type of loss *
What happened and how? And describe the loss and if possible quantify it. Name the Hospital/clinic and or Police station you visited *
Anything else you would like to tell the Commission. Like mentioning names/numbers of those who helped you or may be increased your suffering. Anything.
You can email scanned copies of documents / bills / photos to the Commission *
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