Report a Missing Person Filler information will be kept secret if requested. Elements marked with (*) are mandatory. 1. PERSONAL IDENTIFICATION Full Name (As per NIC/Official ID) * Translated/Alternative Names Date of Birth Gender * MaleFemaleOther Occupation / Affiliation NIC Number (if known) 2. PHYSICAL DESCRIPTION Height (/ft) Distinctive Features (Scars, Tattoos) Clothing Worn at Time of Disappearance 3. CIRCUMSTANCES OF DISAPPEARANCE * Date of Disappearance * Time of Disappearance * Place of Disappearance (City, Village, Landmark) * Description of the Event * Identity of Perpetrators (if known) Witnesses (Names and Contact info) 4. LEGAL & PREVIOUS ACTIONS Has an FIR been filed? YesNo FIR Number and Police Station Have any court petitions (Habeas Corpus) been filed? YesNo Reported to other organizations? (UN, HRCP) * YesNo 5. PHOTOGRAPH UPLOAD Upload Recent Photograph (Max 4MB) Consent for Public Display I agree to let VMPS share this photo publiclyI do NOT want the photo shared publicly 6. REPORTER (YOUR) INFORMATION Your Full Name * Relationship to Missing Person * Current Address * Phone Number * E-mail Address Confidentiality Request * I request my identity be kept CONFIDENTIALNo request for confidentiality