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Complaint Registration Form
Personal Information
Anonymity Option
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Full Name
Contact Number
Contact Email
Location of the Incident
ViN Facility Options
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ViN HQ
Community Learning Center (CLC)
Library
Women’s Business Center (WBC)
Working Community
Community Name
Type of Complaint
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Sexual Harassment
Discrimination
Bullying
Protocol Violation
Other
Complaint : Others ?
Detailed Description of the Incident
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Supporting Evidence
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Option to upload relevant documents, images, or files
Names of Witnesses
Previous Reporting
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Descriptions
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describe previous action or follow-up taken
Confidentiality & Consent
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I consent to the use of this information for internal investigation purposes.
I wish to remain anonymous in any reports or public discussion related to this investigation.gation purposes.
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