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Your age at the time of the violation *
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When did the case occur? *
Case description *
Why do you think the violation is connected to LGBT issues? *
Type of violation you encountered:














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Perpetrator (persons who have caused damage):


















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How did this situation impact your life?
Are there witnesses of the violation / other victims?



Have you turned with this case to:







If you have appealed to state bodies (police, prosecutors office, court), please, write the full name of this body
Results of your appeal, if you did appeal:
Do you have any copies of the documents or any other evidence confirming the fact of the violation?


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How can we make this case public?




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