Get Help – The Remnant Generation

Get Help

What is your full Name?

How old are you?

What District are you currently staying in?

Contact

Who is your Next of Kin or any other contact

Have you recieved any form of support? If yes, specify

Share a brief of your story/experience

What kind of help do you need?

health

legal

emergency shelter

food

Other

If you have been sexually abused, Have you reported or told anyone?

Yes

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If you are human, leave this field blank.