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Issues & concerns

 
If you have experienced any issues regarding stigma or discrimination against your HIV status, or if you want to share any concerns that you have, please submit them to us. We will keep your identity uttermost confidential.

You can submit them anonymously, but we prefer to have your phone number, email and/or postal address to be able to handle your issue/concern effectively.

Name: (optional)
Gender: (optional)

Phone: (optional)

Example: 09885654771

E-mail: (optional)

Example: sample@email.com

Postal address:
(optional)

Example: New No. 5 (Old No. 10), example road, T.Nagar, Chennai.- 600017, India

Your issue/concern:
(required)

Note: in case of bad internet connectivity, make a backup of your issue/concern in a temporary text file (the submission may not be successful at 1st attempt).

After you click on 'Submit',  enter the confirmation code on the next page for your form to be processed.

If you cannot read the confirmation code or if the form does not work properly, please e-mail your issues or concerns accompanied with your name, gender, phone and/or postal address to wcm@inpplus.net.