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Report an Ugly Mug

General Information
Name:
Name of organisation (if applicable):
Contact Number:
This is necessary to verify the information provided. If no number is provided, no further action will be taken. Alternatively, contact RhED on 1800 458 752 to discuss over the phone
Day/Date of incident:
Time of incident:
Street Incident
Street Incident (tick box):
The Mug was:
Description of vehicle (if sighted):
Colour:
Make + Registration
Distinguishing Features
(dents,stripes,stickers etc):
Pickup Location:
Brothel/Agency Incident
Brothel/Agency Incident (tick box):
Region:
Description of mug
Description of mug:
Name:
Nationality:
Age:
Height:
Weight/Build:
Skin Colour:
Eye Colour:
Hair (colour,length,style etc.):
Facial Hair (sideburns,goatee,beard etc.):
Distinguishing Features
(tattoos,birth marks,scars,piercings etc):
Description of clothing mug was wearing
(including jewellery):
Description of what mug did and said
Description of what mug said and did
(try to provide as much detail as possible):
Victim contact details
Victim Contact Details
(only disclosed with victim's consent):
Name:
Phone Number (if applicable):
Email:
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