Rechercher

Need legal assistance?

Applicant information

Who is completing this questionnaire on behalf of the victim?

Please indicate contact details that we can use to contact you safely. Your contact details will remain confidential.

Country where the violation is taking place:

How did you hear about our organisation?

If other, please provide details.

If you or your relative is the victim of a human rights violation, or if you are the lawyer of a victim of a human rights violation, please answer the following questions to help us assess whether we can provide you with assistance.

Identity of the victim

Full name of the victim:

Gender:

Date of birth or age:

Nationality/nationalities:

Profession or activity if relevant to the arrest:

Place of residence:

Nature of the violation

What is the violation you are referring to us? (More than one answer possible)

If other, please provide details.

Provide a description of the circumstances of the violation:

What code is in the image?

Enter the characters shown in the image.

Get new captcha!

Leave this field blank

Donate now to support our work protecting and promoting human rights in the Middle East and North Africa

— Thank you for your support.

Meraright

Donate now to support our work protecting and promoting human rights in the Middle East and North Africa

— Thank you for your support.

To stay updated on human rights in the MENA, subscribe to our newsletter:

Your email address is used solely to send you our newsletter and other information concerning our work. You can, at any time, unsubscribe using the link contained in all of our emails.

Meraright