Violation Form

Event Title *
Village *
Commune *
District *
Province *
Start Date/time *
End Date/time *
Event Date Perpetrators Type of Acts & Size affected Victim
Violation type *
Event Description( Please describe what happened in as much detail as possible)
Upload Photo
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Upload Supported Documents
pdf, docx, doc, xlsx are only allowed types
Reporting Date
Reporter Name
Reporter Contact
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