Submit a Testimonial

The aim of Remembering The Ones We Lost is to generate a permanent public memorial to honor and remember those who have lost their lives in South Sudan’s conflicts since 1955 and generalized armed violence. The project records the names of those who died or missing and presumed dead.



To submit a name, you may:


1. Fill the online form below


2. Download this form as a PDF here and email it to submit@rememberingoneswelost.com


3. Send an SMS to: +61481071202 (Note: We can only accept SMS messages from MTN number)


4. Send a tweet to @TheOnesWeLost


(To submit names through SMS or Twitter, please provide this basic information: Name, age, sex, nationality, date and location of death or last seen. Please indicate if they are confirmed or presumed dead)



Please fill in as much information to assist in the verification process. Fields marked with asterisks (*) must be completed in order for the names to be published. Only Name, age, sex, nationality and date and location killed or last seen are public.

Date

Time

:: (0)

Categories *

Full Name of deceased or missing person: *

Is this person deceased or missing? * (Private)

Did you witness the death or the body of the deceased if dead? * (Private)

Sex of deceased or missing person

Age in YEARS of deceased or missing person

Age in MONTHS of deceased or missing person

Marital Status of deceased or missing person * (Private)

Place of origin of deceased or missing person

State (Private)

County (Private)

Payam/Village (Private)

Nationality of deceased or missing person

Nationality

If Other, please specify

Type of work of deceased or missing person (Private)

If military personnel, were they killed in active combat or other circumstances:

Circumstances (Private)

If in other circumstances, please explain: (Private)

Date of death/date last seen *

State where death occurred or when last seen (Private)

Cause of death or cause of disappearance

Cause (Private)

If Other, please describe (Private)

Provide any additional information (Private)

Please provide information about others who might have additional information about this killing or disappearance

Name (Private)

Telephone (Private)

Email (Private)

Please initial that the statement provided above is true and accurate to the best of your knowledge * (Private)

Optional Information

Contributor name (Private)

Contributor email (Private)

Contributor phone (Private)

Contributor relationship to deceased and missing person (Private)

Town where death occurred or when last seen *

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