Name *
Enter your Name as it is written on your National Id

National Id/Passport
Enter your NationalId Number

Gender *

Male Female

Year of Birth *
select The Year you were born

Phone *
Enter your phone Number You are Not Allowed To Remove Country Code

Province *
select Province you live into

District *
select District you live into

Sector *
select Sector you live into

Cell *
select Cell you live into

Occurrence Date *
choose a date when crime happened

Hour
Choose an Hour when crime happened

Minutes
Choose Minutes when crime happened

Suspect Names
Add the Suspect name if you know him/her

Type of Incident *
Select Incident

Summary *
Please describe what happened as many details as possible