APPENDIX B

Social Inquiry Report: Short Form

(Translation from Arabic by Human Rights Watch)

The Egyptian Committee for Social Defense Date: / /

Established according to law 2638/1976 Case Number: ………………...

Office of Social Supervision and Continuing Care The Charge: ………………

Trial Session Date: / /

Social Report

Supervisor:………………………….

Juvenile's Name: ……………………………….. Age: ………………………………………...

Guardian's Name: ……………………………….. Relationship: ……………………………….

Address: ………………………………………… Police Station:………………………………

Description of the Residence:…………………………………………………………….

No.	Name	Age	Relationship	Marital Status	Occupation	Monthly Income	Notes
LE	piasters

Juvenile's Education Level: ………………………………………………………………………

Juvenile's Employment Status: …………………………………………………………………...

Juvenile's Health Status: ………………………………………………………………………….

Summary of the Problem: ………………………………………………………………………...

…………………………………………………………………………………………………….

Investigator's Opinion:…………………………………………………………………………...

…………………………………………………………………………………………………….

Signature: ………………….………...

Expert's Opinion: …………………………………………………………………………………

Signature: ………………….………...