Application Form - İnsan Hakları Derneği - Diyarbakır Şubesi

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Kurdî Türkçe Başvuru Formu

Application Form

HOMEPAGE / Application Form

Applicant

Name And Surname

Adress

Phone - Fax

Date

Title

Self

Partner

Family

Relative

Acquaintance

Other

Type Of Application

In Person

By Phone

Via Letter

Fax

Complaınt

Torture-Maltreatment

Custody

Unsolved Murder - Extra Judicial Execution

Prison

Work Life

Mine - Explosives

Child

Thought And Expression

Property Right

Violence Against Woman

Lost

Other

Complaınt (Other)

Victim

Name And Surname

Birth Date And Place

Mother/Father

Occupation

Adress / Phone

Gender

Man

Woman

Education

No

Literate

Primary School

Secondary School

High School

College

University

Do You Have Consent For The Use Of The Id Information Of The Vıctım In Our Reports And Press Releases?

Yes

No

Summary Of The Case

HOMEPAGE | CAMPAIGNS | PUBLICATIONS | REPORTS | NEWS | ANNOUNCEMENTS | CONTACT

Ali Emiri 1.Sok. Yılmaz 2004 Apt. No: 1/3 Yenişehir/ DİYARBAKIR

diyarbakir@ihd.org.tr

0 412 223 30 33 - 0 412 229 58 66

0 412 223 57 37

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