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Applicant Information
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Application Date
Reason for Complaint (Other)
Title
Self
Spouse
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Acquaintance
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Application Method
In Person
Phone
Letter
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Reason for Complaint
Torture - Ill-treatment
Detention
F. Unexplained - E. Execution
Prison
Child
Thought and Expression
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Victim Information
Full Name
Place and Year of Birth
Parents
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Address / Phone
Education Level
None
Literate
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Faculty
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Incident Summary
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