Pakistan Olympic Association

Harassment & Abuse Report / Complaint Form

Complainant / Reporter Name:

Mailing Address

Telephone Number

Choose One
Athlete Coach Officials

Other

Respondent(s) – Person(s) against whom the complaint is being filed.

Name

Detail of Complaint

This May Include Date(S) And Place(S) Of Alleged Violation(S); The Nature Of Alleged Violation(S); Detailed Description Of The Specific Conduct That Is The Basis Of Alleged Violation(S); Attach Copies Of Documents Evidences Pertaining To The Alleged Violation(S) If Available

Attach your Image

Witnesses (IF ANY)

- List everyone you believe can provide relevant information regarding your complaint. Include contact information.

Action Requested

– what action are you requesting to resolve the situation?

Acknowledgement

By completing and submitting this form, I am initiating a complaint which I request be investigated as per the SOPs of NOC Pakistan.

I certify that the information I have provided is true and accurate to the best of my knowledge.