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Petition Form (Sexual Harassment) (ಲೈಂಗಿಕ ದೌರ್ಜನ್ಯ)
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Student Name (ಹೆಸರು)
*
ID Number (ನೋಂದಣಿ ಸಂಖ್ಯೆ)
*
Class/Course (ತರಗತಿ)
*
Describe Your Case (ನಿಮ್ಮ ಅಹವಾಲು ಪ್ರಸ್ತಾಪಿಸಿ)
*
Details of the persons involved (ಘಟನೆಗೆ ಕಾರಣವಾದವರ ವಿವರ)
*
Have you tried confronting? (ನೀವು ದೌರ್ಜನ್ಯ ಎದುರಿಸಲು ಪ್ರಯತ್ನಿಸಿದಿರೇ?)
*
Yes (ಹೌದು)
Yes (ಹೌದು)
No (ಇಲ್ಲ)
If yes, How? (ಹೌದಾದರೆ, ಹೇಗೆ?)
Any Physical Injury? (ದೈಹಿಕ ಗಾಯ?)
*
Your Suggestions (ನಿಮ್ಮ ಸಲಹೆಗಳು)
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