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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

1.

                 

2.

                 

3.

                 

4.

                 

5.

                 

6.

                 

7.

                 

8.

                 

9.

                 

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: ...................

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