COMPLAINT FORM

Stigma & Discrimination Reporting System

Any person or organization who believes he/she or someone else has experienced or is experiencing Stigmatization and Discrimination may report the incident through any of the three options below:

Fill out the complaint form

Dial *920*56# on any network

Report a case in person

Complainant's Information

Name of Complainant / Reporting Organisation

Age of the Complainant

Sex of the complainant

Occupation of the Complainant

Mobile Number

Email Address

Where the violation occurred

Region where the incident occurred

District where the incident occurred

Attach Document (If any)

Supporting Document

Please upload any case documents here. Browse to select the document, and click upload. Wait for upload to be completed to upload more files
Unlimited number of files can be uploaded to this field.
10 MB limit.
Allowed types: jpg, png, pdf, doc, docx, ppt, pptx, xls, xlsx, .

Name of the person/organization against whom the complaint is being made (Respondent)

Click to answer more questions

Respondent Information

Occupation of the Respondent

Postal Address

Mobile Number

Location of the Respondent

Brief statement of what happened

What do you want chraj to do for you

Remedy Sought

Compensation

End of service benefits

Reinstatement

Retraction

Apology

Retraction & Apology

Bail

Other (s)

Authentication

I certify that all the information I have provided above is the true reflection of my petition to the Commission and by filling the space below with my name constitutes authenticating this petition as required by Regulation 1(3) (c) of CHRAJ (INVESTIGATIONS PROCEDURE REGULATIONS, 2010 [C.I. 67]) which provides :

"A complaint made in writing may be addressed to the Commissioner or the Commissioner’s regional or district representative and the complainant shall authenticate, the written complaint."

Your confidentiality is our priority. If you wish to submit a complaint without letting CHRAJ know your identity, you may ask someone else or an institution/organization to submit the case on your behalf. (Your consent may be needed.)