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Complaints Form

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Complaints Form

Formuler votre plainte

Formuler votre plainte

    I. Complainant's Information

    Name*:
    First Name(s)*:
    Gender*:
    FémininMasculinJe préfère ne rien dire
    Email:
    Telephone:
    Address*:
    Are you representing your community ? :
    Are you requesting confidentiality ?*:
    Do you fear risk retaliation ?*:

    II. Project Information

    Project Name*:
    Country*:
    Project location*:

    III. Explain the complaint

    Please Explain the type of harm you believe ROGEAP project has caused you or is likely to cause you or your community.
    Social*:
    Environment:
    Other type:
    Feedback:

    IV. Own steps taken before

    Did you seek a solution through the project's grievance mechanism?
    The project's grievance redress mechanism?:
    Are you a representative of the people affected by the ROGEAP project?:
    What actions have been taken by the grievance mechanism at the project level to resolve complaints? :
    What solution do you expect from ROGEAP for your complaint? :
    If you have any documents to support your complaints, please attach them. You can Attach files in pdf, xls, zip, jpeg, audio and video format up to 10MB in size.