Complaint form of the Human Rights Division
COMPLAINT FORM OF THE HUMAN RIGHTS DIVISION
Name:(mention complete name) Sex:
Male
Address: Female
Email: Home phone:
Mobile:
Victim’s Details (if making a complaint on someone else’s behalf)
Name of the Victim: Sex:
Male
Female
Address:
Email:
Home phone: Mobile:
Place:
Incident Date:
Against whom (mention full details of the person against whom the complaint is being made):
Write Complaint (brief summary of facts/allegations of the incident/complaint):
Date of the Complaint:
Note: This form can be downloaded, filled and can either be sent to this address: 2nd Floor, Renganaden Seeneeneevassen Building, Jules Koenig Street, Port-Louis or emailed to this address: mhrcdbs@intnet.mu