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CATHOLIC ARCHDIOCESE OF KADUNA
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Math question (2 + 17 =)
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
just to confirm you are human
SEXUAL ABUSE COMPLAINT FORM CATHOLIC ARCHDIOCESE OF KADUNA
FULL NAME
Start with surname please
ADDRESS
DATE OF BIRTH
PHONE NUMBER
EMAIL
Gender
Male
Female
NAME AND ADDRESS OF PARENT/GUIDIAN
(If you are still a minor)
FULL NAME OF THE PERSON YOU ARE COMPLAINING ABOUT
PLACE WHERE THE CONDUCT OCCURED
WHEN DID IT HAPPEN?
DESCRIPTION OF YOUR COMPLAIN
HAS THIS BEING REPORTED BEFORE
Yes
No
If yes when, how, and to whom?
When was the last report
Who reported it?
Has the accussed being confronted or informed about your complain
Yes
No
If yes when and by who?
CAPTCHA
Math question (5 + 5 =)
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
just to confirm you are human