{"id":2934,"date":"2022-09-02T08:39:45","date_gmt":"2022-09-02T08:39:45","guid":{"rendered":"http:\/\/www.mothersofmissingtamils.com\/?page_id=2934"},"modified":"2023-01-05T11:05:52","modified_gmt":"2023-01-05T11:05:52","slug":"add-disappear-person-english","status":"publish","type":"page","link":"https:\/\/www.mothersofmissingtamils.com\/?page_id=2934","title":{"rendered":"Collection of Missing Person&#8217;s Information"},"content":{"rendered":"<div style=\"display:none\" class=\"fm-form-container fm-theme5\"><div id=\"fm-pages10\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form10\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2934\" method=\"post\" id=\"form10\" class=\"fm-form form10  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id10\" value=\"2934\" name=\"fm_page_id10\" \/><input type=\"hidden\" id=\"fm_current_post_type10\" value=\"page\" name=\"fm_current_post_type10\" \/><input type=\"hidden\" id=\"counter10\" value=\"66\" name=\"counter10\" \/><input type=\"hidden\" id=\"Itemid10\" value=\"\" name=\"Itemid10\" \/><input type=\"hidden\" id=\"fm_shake10\" value=\"1\" name=\"fm_shake10\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation10\" value=\"\" name=\"fm_empty_field_validation10\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"fm-header-bg\"><div class=\"fm-header image_left_right\"><div class=\"fm-header-text\">          <div class=\"fm-header-title\">            Missing Person's Information          <\/div>          <div class=\"fm-header-description\">            <ul> \t<li><strong>Fill out the following electronic form.<\/strong><\/li> \t<li><strong>Otherwise, download the form, fill it and email a photocopy to <a class=\"contact-us-text\" href=\"mailto:info@mothersofmissingtamils.com\">info@mothersofmissingtamils.com<\/a><\/strong><\/li><\/ul><p style=\"text-align: center;\"><strong>Let us share our sufferings with everyone.<\/strong><\/p><p style=\"text-align: center;\"><b style=\"text-align: center;\">Thanks,<\/b><br style=\"text-align: center;\" \/><b style=\"text-align: center;\">Mothers of missing Tamils<\/b><\/p><p style=\"text-align: center;\"><a href=\"https:\/\/www.mothersofmissingtamils.com\/wp-content\/uploads\/2020\/12\/Add-disappear-Person_-Form_English.pdf\" target=\"_blank\" rel=\"noopener\"><button type=\"button\"> Download Form <\/button><\/a><\/p>&nbsp;          <\/div>        <\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"10form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"59\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-30 wdform_date_fields wd-flex-row\">    <label  for=\"wdform_59_day10\" class=\"wdform-label\">Date of Collection:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t class=\"wd-type-number wdform_input_day\"\t\t\t\t\t\t\t\t\t\t\t\t\t id=\"wdform_59_day10\"\t\t\t\t\t\t\t\t\t\t\t\t\t name=\"wdform_59_day10\"\t\t\t\t\t\t\t\t\t\t\t\t\t onchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-addiotional-fields='[\"wdform_59_month10\",\"wdform_59_year10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t data-valid-type=\"day\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-wdid=\"59\"\t\t\t\t\t\t\t\t\t\t\t\t\t style=\"width: 30px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t value=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t \/><label for=\"wdform_59_day10\" class=\"mini_label\">day<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"wd-type-number wdform_input_month\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tid=\"wdform_59_month10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname=\"wdform_59_month10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-addiotional-fields='[\"wdform_59_day10\",\"wdform_59_year10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-valid-type=\"month\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-wdid=\"59\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tstyle=\"width: 30px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \/><label for=\"wdform_59_month10\" class=\"mini_label\">month<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t class=\"wd-type-number  wdform_input_year\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t id=\"wdform_59_year10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t name=\"wdform_59_year10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t onchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-addiotional-fields='[\"wdform_59_day10\",\"wdform_59_month10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-valid-type=\"year\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-wdid=\"59\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t value=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t from=\"1901\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t to=\"2022\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t style=\"width: 45px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \/><label for=\"wdform_59_year10\" class=\"mini_label\">year<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"60\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"11\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_file_upload\" ><div class=\"wdform-label-section wd-width-100  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_11_element10\" class=\"wdform-label\">Photo upload<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-100\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_11_element10\" name=\"wdform_11_file10[]\" multiple='multiple'  \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 220px;\">    <label  for=\"wdform_2_element10\" class=\"wdform-label\">Name<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 325px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_2_element10\"                           name=\"wdform_2_element10\"                           value=\"\"                           title=\"First Name Last Name\"                           placeholder=\"First Name Last Name\"                                                       \/><\/div><\/div><\/div><div wdid=\"46\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 100px;\">    <label  class=\"wdform-label\">Gender<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_46_element10\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_46_element100\" name=\"wdform_46_element10\" value=\"Male\" onclick=\"set_default(&quot;wdform_46&quot;,&quot;0&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_46_element100\"><span><\/span>Male<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_46_element101\" name=\"wdform_46_element10\" value=\"Female\" onclick=\"set_default(&quot;wdform_46&quot;,&quot;1&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_46_element101\"><span><\/span>Female<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 220px;\">    <label  for=\"wdform_4_element10\" class=\"wdform-label\">Birth of place<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 325px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_4_element10\"                           name=\"wdform_4_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"48\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"61\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-30 wdform_date_fields wd-flex-row\">    <label  for=\"wdform_61_day10\" class=\"wdform-label\">Date of birth<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t class=\"wd-type-number wdform_input_day\"\t\t\t\t\t\t\t\t\t\t\t\t\t id=\"wdform_61_day10\"\t\t\t\t\t\t\t\t\t\t\t\t\t name=\"wdform_61_day10\"\t\t\t\t\t\t\t\t\t\t\t\t\t onchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-addiotional-fields='[\"wdform_61_month10\",\"wdform_61_year10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t data-valid-type=\"day\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-wdid=\"61\"\t\t\t\t\t\t\t\t\t\t\t\t\t style=\"width: 30px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t value=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t \/><label for=\"wdform_61_day10\" class=\"mini_label\">day<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"wd-type-number wdform_input_month\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tid=\"wdform_61_month10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname=\"wdform_61_month10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-addiotional-fields='[\"wdform_61_day10\",\"wdform_61_year10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-valid-type=\"month\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-wdid=\"61\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tstyle=\"width: 30px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \/><label for=\"wdform_61_month10\" class=\"mini_label\">month<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t class=\"wd-type-number  wdform_input_year\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t id=\"wdform_61_year10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t name=\"wdform_61_year10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t onchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-addiotional-fields='[\"wdform_61_day10\",\"wdform_61_month10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-valid-type=\"year\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-wdid=\"61\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t value=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t from=\"1901\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t to=\"2022\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t style=\"width: 45px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \/><label for=\"wdform_61_year10\" class=\"mini_label\">year<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"56\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 220px;\">    <label  for=\"wdform_3_element10\" class=\"wdform-label\">Father's Name<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 325px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_3_element10\"                           name=\"wdform_3_element10\"                           value=\"\"                           title=\"First Name Last Name\"                           placeholder=\"First Name Last Name\"                                                       \/><\/div><\/div><\/div><div wdid=\"47\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"31\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-column\" style=\"max-width: 245px;\">    <label  class=\"wdform-label\">The person concerned<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-70\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_31_element10\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_31_element100\" name=\"wdform_31_element10\" value=\"Kidnapped\" onclick=\"set_default(&quot;wdform_31&quot;,&quot;0&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_31_element100\"><span><\/span>Kidnapped<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_31_element101\" name=\"wdform_31_element10\" value=\"Disappeared\" onclick=\"set_default(&quot;wdform_31&quot;,&quot;1&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_31_element101\"><span><\/span>Disappeared<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_31_element102\" name=\"wdform_31_element10\" value=\"Killed\" onclick=\"set_default(&quot;wdform_31&quot;,&quot;2&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_31_element102\"><span><\/span>Killed<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"34\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-column\" style=\"max-width: 245px;\">    <label  class=\"wdform-label\">Cause of death if killed<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-70\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_34_element10\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element100\" name=\"wdform_34_element10\" value=\"Shelling\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;0&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element100\"><span><\/span>Shelling<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element101\" name=\"wdform_34_element10\" value=\"Shooting\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;1&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element101\"><span><\/span>Shooting<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element102\" name=\"wdform_34_element10\" value=\"Bombing\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;2&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element102\"><span><\/span>Bombing<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element103\" name=\"wdform_34_element10\" value=\"Land mine\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;3&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element103\"><span><\/span>Land mine<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element104\" name=\"wdform_34_element10\" value=\"Cluster bombs\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;4&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element104\"><span><\/span>Cluster bombs<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element105\" name=\"wdform_34_element10\" value=\"Sexual assault\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;5&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element105\"><span><\/span>Sexual assault<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element106\" name=\"wdform_34_element10\" value=\"Beating\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;6&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element106\"><span><\/span>Beating<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element107\" name=\"wdform_34_element10\" value=\"Torture\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;7&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element107\"><span><\/span>Torture<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element108\" name=\"wdform_34_element10\" value=\"Suicide\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;8&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element108\"><span><\/span>Suicide<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element109\" name=\"wdform_34_element10\" value=\"Drowning\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;9&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element109\"><span><\/span>Drowning<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element1010\" name=\"wdform_34_element10\" value=\"Not Known\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;10&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element1010\"><span><\/span>Not Known<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_34_element1011\" name=\"wdform_34_element10\" value=\"Other reasons\" onclick=\"set_default(&quot;wdform_34&quot;,&quot;11&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_34_element1011\"><span><\/span>Other reasons<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 260px;\">    <label  for=\"wdform_7_element10\" class=\"wdform-label\">Other causes of death<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 400px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_7_element10\"                           name=\"wdform_7_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"39\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-column\" style=\"max-width: 245px;\">    <label  class=\"wdform-label\">Who is the (eye) witness?<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-70\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_39_element10\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element100\" name=\"wdform_39_element10\" value=\"Family member\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;0&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element100\"><span><\/span>Family member<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element101\" name=\"wdform_39_element10\" value=\"Neighbour\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;1&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element101\"><span><\/span>Neighbour<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element102\" name=\"wdform_39_element10\" value=\"Friend\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;2&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element102\"><span><\/span>Friend<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element103\" name=\"wdform_39_element10\" value=\"Eyewitness\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;3&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element103\"><span><\/span>Eyewitness<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element104\" name=\"wdform_39_element10\" value=\"Media\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;4&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element104\"><span><\/span>Media<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element105\" name=\"wdform_39_element10\" value=\"Classmate\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;5&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element105\"><span><\/span>Classmate<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_39_element106\" name=\"wdform_39_element10\" value=\"Other Witnesses\" onclick=\"set_default(&quot;wdform_39&quot;,&quot;6&quot;,&quot;10&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_39_element106\"><span><\/span>Other Witnesses<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"42\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 260px;\">    <label  for=\"wdform_42_element10\" class=\"wdform-label\">Who is the other witness?<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 400px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_42_element10\"                           name=\"wdform_42_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"43\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p style=\"color: purple; text-align: center;\"><strong>--- More Details---<\/strong><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"62\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-30 wdform_date_fields wd-flex-row\" style=\"max-width: 260px;\">    <label  for=\"wdform_62_day10\" class=\"wdform-label\">Date of incident<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t class=\"wd-type-number wdform_input_day\"\t\t\t\t\t\t\t\t\t\t\t\t\t id=\"wdform_62_day10\"\t\t\t\t\t\t\t\t\t\t\t\t\t name=\"wdform_62_day10\"\t\t\t\t\t\t\t\t\t\t\t\t\t onchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-addiotional-fields='[\"wdform_62_month10\",\"wdform_62_year10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t data-valid-type=\"day\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t data-wdid=\"62\"\t\t\t\t\t\t\t\t\t\t\t\t\t style=\"width: 30px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t value=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t \/><label for=\"wdform_62_day10\" class=\"mini_label\">day<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"wd-type-number wdform_input_month\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tid=\"wdform_62_month10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname=\"wdform_62_month10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-addiotional-fields='[\"wdform_62_day10\",\"wdform_62_year10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-valid-type=\"month\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdata-wdid=\"62\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tstyle=\"width: 30px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \/><label for=\"wdform_62_month10\" class=\"mini_label\">month<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><input type=\"number\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t class=\"wd-type-number  wdform_input_year\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t id=\"wdform_62_year10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t name=\"wdform_62_year10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t onchange=\"wd_validate(this)\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-addiotional-fields='[\"wdform_62_day10\",\"wdform_62_month10\"]'\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-valid-type=\"year\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-form-id=\"10\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-wdid=\"62\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t value=\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t from=\"1901\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t to=\"2022\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t style=\"width: 45px;\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \/><label for=\"wdform_62_year10\" class=\"mini_label\">year<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"28\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 260px;\">    <label  for=\"wdform_28_element10\" class=\"wdform-label\">The place where the incident took place<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 400px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_28_element10\"                           name=\"wdform_28_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"26\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 260px;\">    <label  for=\"wdform_26_element10\" class=\"wdform-label\">How did you know?<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 400px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_26_element10\"                           name=\"wdform_26_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"29\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 260px;\">    <label  for=\"wdform_29_element10\" class=\"wdform-label\">Eye witness<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 400px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_29_element10\"                           name=\"wdform_29_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"24\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 260px;\">    <label  for=\"wdform_24_element10\" class=\"wdform-label\">Other details of the victim<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 400px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_24_element10\"                           name=\"wdform_24_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"64\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 900px;\">    <label  for=\"wdform_64_element10\" class=\"wdform-label\">Please provide below  the name, phone number and address of the person who completed this form (optional):<\/label><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-100\" style=\"max-width: 800px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_64_element10\"                           name=\"wdform_64_element10\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"65\" class=\"wdform_row\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_file_upload\" ><div class=\"wdform-label-section wd-width-100  wd-flex-column\">    <label  for=\"wdform_65_element10\" class=\"wdform-label\">Upload the evidence if available (one or more evidences can be uploaded)<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-100\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_65_element10\" name=\"wdform_65_file10[]\" multiple='multiple'  \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-center wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('10');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(10);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"10page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2934\" \/><\/form><\/div>\n<p style=\"text-align: center;\"><strong><a href=\"http:\/\/www.mothersofmissingtamils.com\/wp-content\/uploads\/2020\/12\/Filled-Form-in-English.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0000ff;\">If you have difficulty in filling the above form, please refer to the attached sample (completed) form<\/span><\/a><\/strong><\/p>\n<p style=\"text-align: center;\"><strong><a href=\"http:\/\/www.mothersofmissingtamils.com\/wp-content\/uploads\/2020\/12\/Filled-Form-in-English.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #0000ff;\">Click this link to download the sample form-Sample (completed) Form<\/span><\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you have difficulty in filling the above form, please refer to the attached sample (completed) form Click this link to download the sample form-Sample (completed) Form<\/p>\n","protected":false},"author":2,"featured_media":3293,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/pages\/2934"}],"collection":[{"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2934"}],"version-history":[{"count":11,"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/pages\/2934\/revisions"}],"predecessor-version":[{"id":3281,"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/pages\/2934\/revisions\/3281"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=\/wp\/v2\/media\/3293"}],"wp:attachment":[{"href":"https:\/\/www.mothersofmissingtamils.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2934"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}