Rakshak Foundation
Home
Internship
Overview
Guidelines
Apply
Meet the Interns
FAQ
Initiatives
Citizens Social Initiative (CSI)
Desh Raag
Gaurav Gatha
Road Accident Victims
India Inspired
Unique India
Project Areas
Get Involved
Be an Inspiration
Citizen and Civil Society
Online Discussion Forums
Open Positions
About Us
History
Achievements
Management Team
Vision and Mission
You are here:
Home
/
498a – Get Free Help Form
498a – Get Free Help Form
Advice Form – From 498a.org
498A Victim Questionnaire
Your details will be kept confidential
Please fill in the details in this form in order for us to help you. You must provide a reliable method (phone number or e-mail) for us to contact you. If you provide us with contact number, we usually call within 24 hours)
Please fill in all fields marked with a *
Name
*
Email
*
Your Location (City, state,Country)
*
How did you hear About us
*
News Article Comments
Google Search
Yahoo Search
Bing Search
Google Ads
Pamphlet
Rediff Adv
Newspaper Adv
News Article
Media TV Channel
Friend
Seminar
Blogs
Other Internet Sites
498A Registered
*
YES
NO
Place 498A Registered
Date 498A Registered
Any Other IPCs
Relatives Accused
Anyone Jailed
*
YES
NO
Case is at the Stage
*
498a Not Filed Yet
Complaint in Women Cell
498a Registered (FIR)
Chargesheet Filed
Final Report
Money Spent on case so far
*
Lived in joint Family
*
YES
NO
Marriage Date
*
Wife Age (when filed 498a)
*
Wife’s Education Level
*
B.Sc.
B.Com.
B.A.
B.Tech
M.A.
M.Sc.
M.Com.
M.Tech.
CA/CS
LLB
MBBS
PhD
12th pass only
Other specialization
Still Studying
Wife works (earns)?
*
HouseWife, does not work
Software/IT
Private Business
Financial Services
Legal Sector
Government Job
Sales/Marketing
CA/CS
Teaching
General Administration
Doctor
Medical Services
Media
Engineer
Entertainment
Other specialization
Husband Age (at present)
*
Husband Education Level
*
B.Sc.
B.Com.
B.A.
B.Tech
M.A.
M.Sc.
M.Com.
M.Tech.
CA/CS
LLB
MBBS
PhD
12th pass only
Other specialization
Still Studying
Husband Profession
*
Software/IT
Private Business
Financial Services
Legal Sector
Government Job
Sales/Marketing
CA/CS
Teaching
General Administration
Doctor
Medical Services
Media
Engineer
Entertainment
Other specialization
Looking for Job
Filed for Divorce
*
YES
NO
Do you have children
*
YES
NO
Wife still living with you
*
YES
NO
Negotiating with Wife
*
YES
NO
She took her Stridhan Back
*
YES
NO
Not Applicable
She had Any Medical issues
*
No Medical Problems
Mental Problems
Physical Problems
Willing to help other people
*
YES
NO
Ready to give Press/TV interview?
*
YES
NO
May Be
Are you looking for trusted Legal Assistance?
*
YES
NO
May Be
* (Legal Representative from
Lawkonect.com
will contact you)
Contact Number
*
Case Details *
(please be
precise
for us to help you with proper advice)