ELTERRAN

HUMAN RIGHTS COUNCIL OF INDIA

Registered Under

MINISTRY OF CORPORATE AFFAIRS

Corp. ID No. - U88900WB2023NPL265311 Licence No. – 149437 Govt. of India
UDYAM Reg. No. – UDYAM-WB-10-0092754
www.ahrci.com HELPLINE No. – 7980437618 helpline.hrci@gmail.com

Complainant Details COMPLAINT SHEET

Name
Mobile Email
Address

District State
Victim’s Details
Victim’s Name
Gender Religion
Address

District State
Incident Details
Place of Incident Date of Incident
Category of
Incident
Incident District Incident State
Is it filed before any Court or Police Station
Name of the Court / Police Station

Incident Details :

_______________________
Signature of the Complainant