Details of Your Human Right Issue

​Please fill out the following form and click on “Submit.” button.
Fields marked with * are required.
Adress*Prefecture
 

Address details.

Name
Age
 10~19 20~29 30~39 40~49 50~59 60~69 70~79 80~ 
Sex
 Male Female Other 
【Your issue】

To avoid characters garbled, pleease do not use special characters.
*"Who" was infringed his/her human rights?
(Example: Me）


*"When" was he/she infringed?
(Example: December 14th）


*"Where" was he/she infringed?
(Example: workplace）


*"By whom" was he/she infringed?
(Example: My colleague）


*How was he/she infringed?(Please describe your issue in not more than 1500 words)
(If you want to write more, please continue to Other.）

Other(Please describe your issue in not more than 2000 words)
※If you have any items for reference, please enter them into this section (if you are having a problem where your human rights are being infringed on the internet, please enter the URL of the website containing the violation).

*Please choose your preference for a reply method.
Reply by email
Reply by phone
Phone number that you want me to contact.：

Details of Your Human Right Issue Please fill out the following form and click on “Submit.” button.
Fields marked with * are required. Adress *Prefecture
 Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa 
Address details.

Name
Age
 10~19 20~29 30~39 40~49 50~59 60~69 70~79 80~ 
Sex
 Male Female Other 
【Your issue】
To avoid characters garbled, pleease do not use special characters. *"Who" was infringed his/her human rights?
(Example: Me）


*"When" was he/she infringed?
(Example: December 14th）


*"Where" was he/she infringed?
(Example: workplace）


*"By whom" was he/she infringed?
(Example: My colleague）


*How was he/she infringed?(Please describe your issue in not more than 1500 words)
(If you want to write more, please continue to Other.）

Other(Please describe your issue in not more than 2000 words)
※If you have any items for reference, please enter them into this section (if you are having a problem where your human rights are being infringed on the internet, please enter the URL of the website containing the violation).

*Please choose your preference for a reply method.
Reply by email
Reply by phone
Phone number that you want me to contact.：