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If you have seen a student being harassed


or the victim of verbal or physical abuse use this form to report harassment, violence or other unlawful behaviour.

  • Please write as much as you can remember.
  • If there are tick boxes, you can tick more than one if you wish.
  • When you give us information, it will be sent to the the UWA Student Services Team. They will study the information and it will be used by members of the UWA Student Services Team to help keep others safe.

Information about what happened (the incident)


How did it start? What did people say?


Can you remember:

· The time?
· The day of the week?
· The date?
4. Where did it happen?
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· The name of the street or other landmark (e.g. train station name)?
· Any names of buildings or shops close by?
· A letter box number close to you at the time?
5. Vehicles: Was there a car?
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· What colour it was?
· The company that made the car?
· The model of the car?
· The licence plate number? Even a few numbers from the licence plate can be helpful.
· Anything else you can remember noticing about the car?

For example...

· What did the person who did it look like?
· Was the person who did it alone, or was there more than one?
· How tall or short?
· How thin or big?
· What colour eyes and hair?
· What kind of haircut?
· What kind of clothes?
· What colour were the clothes?
· About how old did they look to you?
· Any tattoos or piercings?
· Is there anything else you noticed about the person or people who did this?
7. Do you know the person, or the people, who did this?
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8. Was anyone physically hurt?
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9. Was any property lost or damaged?
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10. Do you usually feel safe living in Perth?
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General information about you

This could be helpful to understand more about harassment in Perth.
This information will not be linked with your name unless you choose to fill in the last section.

What is your age group?
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What is your gender?
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How long have you been in Perth?
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Your contact details

If you would like to be contacted by someone to follow this incident up, please include the following details.
If you don't want to be contacted, leave this section.





(e.g. only at a certain time or place)


The University of Western Australia
University information CRICOS Code: 00126G
This Page
Last updated:
Friday, 24 July, 2009 1:09 PM

Website Feedback:
garry.jones@uwa.edu.au

http://www.security.uwa.edu.au/304348