  
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
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No.
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Name
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Relationship
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Age
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Education Level
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Occupation
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Monthly Income
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Marital Status
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Notes
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LE
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piasters
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1.
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5.
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7.
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8.
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9.
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General description of the house or neighborhood: ...........................................................................
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General observations about the family's economic situation and consumption pattern: ................................
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Emotional environment of the family and it's attitude toward the juvenile and it's cooperation: ......................
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Decision of the Office of Social Supervision and Continuing Care staff:
..........................................................................................................................................
Social expert's opinion:............................................................................................................
.........................................................................................................................................
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Signature of the observer: ...........................Signature of the office manager: ...................   
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