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  REPORT PERSECUTION  

     
Your Name
Email Address
Your Fathers Name
Full Address
Your Phone number(s)
Category  
Date(s) of Incident
State  
Place (State, City, Address etc). Give us as much
detail as possible.
Please Give Us The Name(s) of the Victim(s)
and their age(s) e.g., (Name, Age)
Denomination of church the victim
is associated with (if any)
Please Describe What Happened In Detail.
How Did You Know About The Incident
What is the Status of the Victim (ie they are in X jail, or in X hospital). Tell us the State of their Health.
If the Victim is in a police station, jail, or prison, please give us the name and location of the facility, as well as the name of the head administrator of the prison or jail and how to contact them. State whether the FIR was filed.
Anything else you would like to let us know?
     


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