Report Human Rights Violations Posted on 23/09/201402/12/2014 by African Legal Centre Please read the below disclaimer before filling out the report. Please fill out the details below in as much detail as possible and click "Submit" once you are finished. We will not disclose any of your personal information without your consent. The questions can be translated by clicking on the translate buttons above. What will we do with your information? After contacting you we will try and contact local authorities, regional mechanisms or international organisations and see if they can assist. If you would like to make the violation public, you can tweet us @ReportRights and we will disseminate the information but without your personal details. Do you consent to us assisting you where we can? Yes No What is your name? Which country do you come from? What is your current address or location (please try and be as specific as possible)? What is your gender? Male Female Trans-gender How old are you? below 18 19-25 26-40 41-60 60 and above Have you tried to contact the police of local authorities Yes No They committed the violation(s) Please explain the human rights violation that you are experiencing? Please tell us as much as possible. Please indicate if the violation falls within one of these categories Murder Rape Theft Abduction Gender based violence Displacement Assault Limitation of freedom of expression Other How urgent is your request? The violation is continuing The violation has occurred and I think it may happen again The violation has occurred but I don't think it will happen again How can we best contact you? E-mail Phone Twitter Facebook Please give us your contact details as suggested above? What is the best time for us to contact you? Is there anyone else that we could contact? Please provide a name and contact detail, if possible. Is there anything else that you want to tell us? Please fill out the numbers/words below so that we can ensure that you are not a computer. Thank you! We will contact you as soon as we can.