“*” indicates required fields

Reason for communication

.

(please briefly indicate the reason for your inquiry or communication


Data of the person concerned


Name
E-mail

Data of the communication and/or complaint


Include an account of the facts reported and/or denounced, attaching as many numbered sheets as necessary, including dates on which the events took place, whenever possible.

Indicate the possible witnesses who may have witnessed the reported and/or denounced facts or who may have a background on them. Attach any means of evidence that you consider appropriate (indicate which ones).

File types accepted: jpg, gif, png, pdf, mp4, mov, avi, webm, mkv, flv, wmv, Maximum file size: 32 MB, Maximum number of files: 5.

(CHECK ALL THAT APPLY)
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