Documenting a Detainee

Detainee Name: *

Last Name:*       

Father Name:*       

Mother name and nickname:*  

Date of birth:*        

Place of birth:*        

Gender: MaleFemale

City:*

Area:     

Arrest Date:*               

Release Date:               

Arrest area:*       

Authorities:*       

E-mail address:*            

Skype account:             

Form Uploader name:*        

Note:                   

Link to a photo or video:   

Or

Uplaod Image        



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