Please select a Form Type by clicking on the dropdown arrow. You will see Report Incident and Unsafe Area. If you are reporting an experience of harassment, click ‘Incident’, scroll down, give a title, description and tick how it happened to you. If you are reporting an Unsafe Area, please write it in the title and description and tick Unsafe Area as well as what is relevant.

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Select A Form Type

Report Title *

Description *

Allowed HTML tags: "a, p, img, br, b, u, strong, em, i".
Iframes are only allowed from: www.youtube.com/embed/, player.vimeo.com/video/, w.soundcloud.com/player.

Modify Date Date & Time: Today at 10:53 am (Asia/Kolkata)

Date

Time

:: (Asia/Kolkata)

Categories *

Site of Harrassment

Profile of Harasser

Your Gender *

Your Age *

Name of Road

Landmark

Area

Name the Zone

Optional Information

First Name

Last Name

Email

* Search for your location using a location name OR latitude,longitude coordinates (format: 38.19, 85.61), OR click on the map to pinpoint the correct location..

Location Name *
Example: Corner of City Market, 5th Street & 4th Avenue, Johannesburg

News Source Link

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External Video Link

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Upload Photos

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