NATIONAL HUMAN RIGHTS COMMISSION
NHRC COMPLAINT FORM
Please complete the form below if you have any complaint on human rights violation in Nigeria. Where you cannot supply the information required in any column, please put
NOT AVAILABLE
or
NOT APPLICABLE
*
Required field
Complainant Personal Data
Name of Complainant
*
Physical Address / Residence
*
Postal Address:
*
Telephone Contact:
*
Email:
*
L.G.A Of Origin:
*
State Of Origin
*
Please Supply Victim's Personal Information
Name of Victim
*
Physical Address / Residence
*
Telephone Contact:
*
Please Supply Alleged Violator's Personal Information
Name of Alleged Violator
*
Physical Address / Residence
*
Postal Address:
*
Telephone Contact:
*
L.G.A Of Origin:
*
State Of Origin
*
Nature of Complaint
*
Place where violation occurred:
*
Summary of Complaint
*
Signature of Complainant
:
*
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