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Ministry of Gender Equality, Child Development and Family Welfare

Online Referral Form

Case of Domestic Violence


THERE IS NO EXCUSE TO DOMESTIC VIOLENCE

All data collected is confidential and will only be used to conduct enquiry on cases being reported.

Details of Complainant
Please separate several emails with comma ",".
E.g : mail@test.com, mail2@test.com
Date
E.g., 7 Dec 2019
Details of Victim
Nature of problem
Image CAPTCHA

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