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Case referral form – Suspected labour trafficking
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Enter details of the case:
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Name of suspected culprit
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Contact number of suspected culprit
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Address where suspected trafficking occurred
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Time / Period when victim(s) is/are seen at the address
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Suspected number and gender of victims
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Brief information on the case
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Were any of these signs present?
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Has the victim(s) approached any government agency or NGO for assistance?
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How did you come to know about the case?
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Any other information or details
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In order for us to make a quick and complete assessment on the case, we seek your cooperation to ensure that all the questions in this form have been completed. Your information will be kept strictly confidential.
Name of suspected culprit
Contact number of suspected culprit
Address where suspected trafficking occurred
*
(e.g. Where to find the victims)
Time / Period when victim(s) is/are seen at the address
*
Suspected number and gender of victims
(e.g. Number of females and males)
Brief information on the case
*
(e.g. Describe what happened and provide the name of victim(s), gender, nationality and contact number if available)
Were any of these signs present?
Threat
Physical abuse
Restriction of movement
Restriction of means of communication
Coercion
Please specify
Has the victim(s) approached any government agency or NGO for assistance?
No
Yes
Please Elaborate
How did you come to know about the case?
Any other information or details
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