Complaint Statement Form

Setting up a viable platform to seek justice for the victims while addressing the contemporary demands of the Gen Z and Millennials.

Name

National ID/Passport No

Phone number

Postal Address

Sex

Age

Disability

Nationality

Present Physical Residence

County

Constituency

Person/ Organization against Whom Complaint is Lodged

Address

Tel

Nature of Complaint

Language of Recording Complaint

FACTS OF ALLEGED VIOLATION

Reliefs Sought by Petitioner: