Submit Complaint to National Centre for Human Rights Is the complainant the same as the victim? * Yes No This field is required. Complainant (Representative) Information Full Name This field is required. Gender Male Female This field is required. Phone Number This field is required. Relationship to Victim This field is required. Victim / Aggrieved Person Information Full Name * This field is required. Gender Male Female This field is required. Nationality * Jordanian Other This field is required. This field is required. National ID Number (Jordanian only) Passport Number (Non-Jordanian only) Main Phone Number * This field is required. Additional Phone (optional) Date of Birth (Day/Month/Year) * This field is required. Place of Birth This field is required. Marital Status Single Married Divorced Widowed Other Country of Residence * JordanSaudi ArabiaQatarRussia/Ukraine/DonetskLibyaUAEUSAOther This field is required. City / Governorate AmmanZarqaIrbidSaltMafraqKarakMadabaJerashAjlounAqabaMa'anTafilah Email Address ID / Passport Photo Choose file Browse This field is required. Supporting Documents (optional) (File types: .jpg, .jpeg, .png, .gif, .pdf, .doc, .docx) Choose file Browse Complaint Details * This field is required. Submit Complaint
