Personal image after incident:
Notes personal:
Fame name:
Date of Birth:
Age:
Graduation:
Occupation:
Select Political Belonging: Muslim Brothers
Please state Other Political Belonging:
Select Social Status: Single
Names of Childeren:
Accident Place: اخرى
Hospital:
Medical Report Summary:
Disability Degree:
Incident Name:
Incident Description:
Incident Place:
Incident Period: Period
Incident Killers: Policemen
Other Killer:
Incident police article no:
Address:
Governorate: Helwan
How to Contact his/her family?
Website:
Facebook Page:
Twitter Page:
