Advice Please
498A Victim Questionnaire
Your details will not be shared with any other organization
.
Please fill in the details in this form inorder for us to help you. You must provide a reliable method (phone number or e-mail) for us to contact you. If you provide us with contact number, we ususally call within 24 hours
Please fill in all fields marked with a *
Name
*
Email
*
Your Location (City, State, Country)
*
How did you hear About us
News Article Comments
Google Search
Yahoo Search
Bing Search
Google Ads
Pamphlet
Rediff Adv
Newspaper Adv
News Article
Media TV Channel
Friend
Seminar
Blogs
Other Internet Sites
*
498A Registered
YES
NO
*
Place 498A Registered
Date 498A Registered
Any Other IPCs
Relatives Accused
Anyone Jailed
YES
NO
*
Case is at the Stage
498a Not Filed Yet
Complaint in Women Cell
498a Registered (FIR)
Chargesheet Filed
Final Report
*
Money Spent on case so far
Lived in joint Family
YES
NO
*
Marriage Date
Wife Age When she filed 498a
Wife's Education Level
B.Sc.
B.Com.
B.A.
B.Tech
M.Sc.
M.Com.
CA/CS
LLB
M.A.
M.Tech.
MBBS
PhD
12th pass only
Other specialization
Still Studying
*
Wife works (earns)?
HouseWife, does not work
Earning member, works at a company
*
Filed for Divorce
YES
NO
*
Do you have children
YES
NO
*
Wife still living with you
YES
NO
*
Negotiating with Wife
YES
NO
*
She took her Stridhan Back
YES
NO
Not Applicable
*
She had Any Medical Problems
No Medical Problems
Mental Problems
Physical Problems
Willing to help other Victims
YES
NO
*
Ready to give Press/TV interview?
YES
NO
May Be
*
Contact Number
Case Details *
(please be
precise
for us to help you with proper advice)
