Main information:Relationship with the reported victim:Father / MotherSon / DaughterUncle / AuntHusband / WifeGrandfather / GrandmotherCousinNephew / NieceOther
Contact information:
Information about the victim:
Date of Birth:
Sex:—Please choose an option—MaleFemale
Details of the incident (enforced disappearance, arbitrary detention, kidnapping, detention, missing):
Did the incident take place between 1-1-2011 and 30-12-2013? YesNo
Date of disappearance
If the incident connected to an incident that happened to another person, please elaborate:Were there any witnesses to the incident after that the person was gone missing? Please elaborate:Please submit other information: Photo of the missing, identity card photo, death notice, others:
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