Student Incident Report
University of Kelaniya, Sri Lanka
Incident Details
  
Incident Type : 

Date : 
  
Time : 
  
Inside the University : 
Yes No
Location : 
  
Can Identify the Accused : 
Yes No

Number of Accused : 

Harassment : 
Physical    Mental    Other(Verbal)   
Witness Details
Number of Witness : 
Informed Details
Number of Informed : 
Informed to Police Station : 
Yes No
Just For Inquiry For legal Action