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Personal Data Protection

All information entered will be encrypted to maintain the integrity of personal information

Digital Violation Report

All data will be treated with the utmost confidentiality

Important Information

This form is designed for reporting digital violations such as electronic surveillance, account hacking, digital threats, and other online violations.

All fields marked with (*) are mandatory. You can report anonymously.
Digital Violation Report Form
Reporter Personal Information
مثال: name@example.com (غير مشفر)
Reporting Options and Target Category
Your identity will be protected and your personal information will not appear in public reports

Select the category/categories that apply to you
Former Prisoner
Journalist
Human Rights Defender
Social Media Activist
Political Activist
Note: If you select "Former Prisoner" category, you must specify prisoner violations. If you select "Journalist" or "Activist" categories, you must specify activist violations.
Perpetrator (Responsible Party)

Select the party/parties you believe are responsible for the violation

State
Armed Groups
Unknown Electronic Parties
Types of Digital Violations

Select the type/types of violations you have experienced

Violations for Prisoners/Former Prisoners
Violations for Activists/Journalists
Digital Platforms Used

Select the platform/platforms where violations occurred

WhatsApp
Telegram
Facebook
Twitter/X
Signal
Tiktok
SnapChat
Email
Impacts You Have Experienced

Select the impact/impacts you have experienced as a result of the digital violation

Psychological Impact
قلق، اكتئاب
Work Impact
فقدان العمل
Social Impact
عزلة
Legal Impact
قضايا
Long-term Effects
مستمرة
Economic
خسائر
Health
أمراض
Security
تهديدات
Academic
دراسة
Timeline Details and Actions Taken
مثال: 14/01/2026 (اختياري)
Digital Protection Used
Detailed Description of the Violation
Please describe the violation in as much detail as possible: what happened, when, how, and who was involved
Confirmation and Electronic Signature

I, the undersigned, hereby grant Stichting Al Amal for Human Rights and Justice full authority to represent me and speak on my behalf regarding my case/my family's case before: - Local institutions within the Kingdom of Bahrain. - International human rights organizations and bodies. - Any other relevant parties seeking to address or support my case. This authority includes: submitting complaints, correspondence, or statements, and following up on my legal and administrative case, with the center's commitment to use these powers exclusively within the human rights and humanitarian framework.

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All fields marked with (*) are mandatory *