CHILD MARRIAGES & SCHOOL DROP OUT's

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DATE *

YYYY

NAME OF THE POLICE STATION *

NAME OF THE MAHILA POLICE *

NAME OF THE SACHIVALYAM *

CONTACT NUMBER OF MAHILA POLICE *

TYPE OF ISSUE *

NAME OF THE CHILDREN *

FATHER NAME *

MOTHER NAME *

AGE OR DOB *

GENDER *

ADDRESS *

CONTACT NUMBER OF PARENTS *

STATUS OF STUDIES *

NAME OF THE SCHOOL(PAST/PRESENT) *

INFORMATION INFORMED TO THE CHILDLINE 1098 *

Yes

Action taken by SHO *

YES

If YES, Action Details

Child rejoin into school (yes/no) ? *

Yes

Submit

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