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GAM Confession Form
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Name
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Email
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Phone
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Reg. No.
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Date of Birth
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Gender
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Male
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Nature of confession:
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Details of what happened? (include the following)
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a. Date of Incident | b. Time of Incident | c. Location of incident | d. Circumstances surrounding the incident?
Is this a repeat case?
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Yes
No
If yes, state the number of times
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What could you have done differently to prevent the incident?
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What lessons have you learnt from this?
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Are you willing to undergo a restorative regimen?
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