Electoral Voilence Prevention Monitoring System (EVPMS)

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Region *

Constituency *

Community / Electoral Area

Polling Station

Name (Optional)

Telephone (Optional) *

eg. 0244123456 or +233244123456

Address

Gender based violence or other abuses

Type of violence *

Was the alleged perpetrator employed on or somehow related to the project? *

Yes

Report Details *

Gender *

What is the best way to contact you *

Attachment

Use the map to navigate to report location

Geo-Location

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