BalochVoiceForJustice - End enforced disappearances in Balochistan

Report Enforced Disappearance

1. Information concerning the enforced disappeared person

* All fields marked with * are mandatory.

(a) Given name(s)^*

(b) Family name(s)

(d) Sex / Gender

(e) Occupation/profession and/or affiliation

(f) Father's name

(f) Mother's name

(g) Date of Birth

(h) Place and country of birth

(i) Was the person under 18 years of age at the moment of the disappearance?

(j) ID type

(j) ID Number

(j) ID date of issue

(j) ID place and country of issue

(k) Nationality or nationalities

(l) Address of usual residence

(m) Any other place of residence at the moment of the disappearance

(n) Marital status

(o) Member of an indigenous people

(p) Pregnant

2. Information concerning the facts

(a) * Date of arrest, abduction or disappearance (at least month and year) ^*

(b) * Place of arrest, abduction or where the disappearance occurred (be as precise as possible, indicating street, city, province or any other relevant information) ^*

(d) * If the person was seen after the disappearance, please indicate where (for example, if seen in a prison months after the initial arrest or abduction. Please, be as precise as possible. Indicate street, city, province or any other relevant information) ^*

(e) Please, provide a full description of how the disappearance took place. Attach one page if necessary. Please note that, although this is not a required element, providing as detailed a description as possible of the circumstances of the disappearance will increase the chances of finding the person

(f) * State or State-supported forces believed to be responsible for the disappearance. If the perpetrators are believed to be State agents, please specify and indicate who and why they are believed to be responsible. Be as precise as possible (military, police, persons in uniform or civilian clothes, agents of security services, unit to which they belong, rank and functions, identifications presented, etc.) ^*

(g) If you are unable to identify the perpetrators as agents of the State, please indicate why you believe that Government authorities, or persons linked to them, may be responsible for the incident

(h) If there are witnesses to the incident, please provide their names and relationship to the victim. If they wish to remain anonymous, indicate if they are relatives, bystanders or others. If there is evidence, please specify.

(i) Additional Information on the case. Please indicate any other relevant information that could be useful to find the person

3. Information concerning actions taken after the disappearance

* Indicate any action taken by relatives or others to locate the person (police inquiries, jail visits, involvement of human rights commissions, habeas corpus petition etc.). You are required to state the following: when, by whom, and before which organ the actions were taken, and what was the outcome, if any.

(a) Complaints (when, by whom, and before which organ/s, outcome)

(b) Other steps taken (when, by whom, and before which organ/s, outcome)

4. Person or organization submitting the communication

Person submitting the communication * ^*

(b) Family name(s) ^*

(a) Given name(s) ^*

(d) Contact details (address, telephone, email)

Organization submitting the communication (if applicable) ^*

(e) Contact details (address, telephone, email) of the organization submitting the communication (if any) ^*

5. Confidentiality request

Full name(s) of the victim should not appear in public UN reports

* Date ^*

Place

Signature of author * ^*

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