APPENDIX C

Social Inquiry Report: Long Form

(Translation from Arabic by Human Rights Watch)

Ministry of Social Affairs

The General Committee for Social Defense

Dur al Tarbi` of Giza

Office of Social Supervision

Social Report Presented to Juvenile Courts In Accordance with Law 31/1974

Juvenile's name: ………………………. Date of birth: /  /     Age at time the offense was committed:………………

Location of  juvenile at the time the report was written: …………………………………………………………….

Family's address: …………………………………………………………………………………………………….

Guardian's name and address: ……………………………………………………………………………………….

Summary of charge according to case file: …………………………………………………………………………..

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

Previous charges: …………………………………………………………………………………………………….

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

Previous convictions: ……………………………………………………………………………………………….

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

Summary of the problem according to the family: ………………………………………………………………….

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

Summary of the problem according to the juvenile: ………………………………………………………………..

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

Education level of juvenile and the reason for dropping out if applicable: ………………………………………....

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

Employment status and the potential for advancement and stability: ……………………………………………….

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

Juvenile's health status and physical disabilities if applicable: …………………………………..

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

Report about the juvenile if there is any:

Observation Houses ……………………………………

       Psychological report: ……………………………………………………………………….

       Educational report: …………………………………………………………………………

Juvenile's Family

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

General description of the house or neighborhood: …………………………………………………………………

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

General observations about the family's economic situation and consumption pattern: …………………………..

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

Emotional environment of the family and it's attitude toward the juvenile and it's cooperation: ………………….

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

Decision of the Office of Social Supervision and Continuing Care staff:

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

Social expert's opinion:……………………………………………………………………………………………...

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

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

Signature of the observer: ………………………Signature of the office manager: ……………….