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1
Report A Press Attack
2
Attack Details
3
Victim Details
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5
Your Email
Your Phone
Are you the victim?
Yes
No
Do you or victim require immediate assitance?
Yes
No
Nature of the Attack
Physical Attack
Arrest
Border Stop
Equipment Search Or Seizure
Equipment Or Property Damage
Denial Of Access
Threat
Harassment
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Attack Details
Choose the type of attacker?
*
Government
Military or Paramilitary
Corporate Organisation
Other
(Choose the description that most closely describes the attacker)
Name of Attacker?
*
Provide the name of the person or organisation who perpetrated the attack
Date of Attack
*
Attack Description
*
Give a description of the attack in not more than 500 words
Do you have any evidence of the attack?
*
Yes
No
Supporting Evidence(s) of The Attack? (Tick all that apply)
*
Website Link
Pictures
Video
Audio
Post the URL supporting this Attack
Upload Supporting Picture Evidence
*
Click or drag a file to this area to upload.
Upload up to 4 pictures of the attack that you have
Upload Supporting Video Evidence
*
Click or drag files to this area to upload.
You can upload up to 2 files.
Upload up to 2 videos of the attack?
Upload Supporting Audio Evidence
*
Click or drag files to this area to upload.
You can upload up to 4 files.
Numbers of Persons Involved
*
Do you know the name of any of the victim(s)
*
Yes
No
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Victim #1
*
First
Middle
Last
Email
*
Phone
Victim #2
First
Middle
Last
You selected more than 1 victim. Please supply the name of the second one.
Victim #3
First
Middle
Last
Victim #4
First
Middle
Last
Victim #5
First
Middle
Last
Victim #6
First
Middle
Last
Victim #7
First
Middle
Last
Victim #8
First
Middle
Last
Victim #9
First
Middle
Last
Victim #10
First
Middle
Last
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Address
Address Line 1
City
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT - Abuja
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
State
Postal Code
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Checkboxes
I hereby confirm that the information provided is accurate
Captcha
*
What is 7+4?
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