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Report Title
*
Description
*
Modify Date
Date & Time: Today at
06:03 am
(Africa/Nairobi)
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Categories
*
Violation
Accessing private data
Taking photo/video without consent
Monitoring & tracking
Deleting, changing or faking personal data, photos/videos
Repeated harassment
Threats of violence/blackmail
Stealing identity, money or property
Sharing and/or disseminating private information
Abusive comments
Other
Harm faced
Physical harm
Emotional harm
Sexual harm
Harm to reputation
Loss of identity
Loss of property
Mobility limited
Censorship
Invasion of privacy
Technology platform
Mobile phone
Radio
Television
Newspaper
Forum, listing or ads
Facebook
Twitter
Orkut
YouTube
Other social networks
Geolocation (e.g. maps, 4square)
Online chats (e.g. Skype, IM)
Email
Webcam
Video
Audio/mp3
Other
Abuser/Violator
Someone known
Someone unknown
A group of people
Internet platform provider (e.g. Facebook)
State
Other
Survivor's strategies
Reported to police/state enforcement authority
Investigation initiated by prosecutor
Dialogue or confrontation of aggressor
Blocking aggressor on platform or technology
Leaving / changing platform
Reporting abuse to provider/platform
Provider or platform takes action against aggressor
Provider/platform deems no action necessary
No response from provider/platform
Age of person experiencing abuse
under 18
18-30
31-45
46-60
more than 60
Optional Information
First Name
Last Name
Email
Label:
Comments:
Color:
Stroke Width:
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Latitude:
Longitude:
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* 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
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External Video Link
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Platform
Platform
Platform