All correspondence should be addressed In reply please quote
District Social Welfare Officer
DSW/………
MINISTRY OF COMMUNITY DEVELOPMENT AND SOCIAL WELFARE
DEPARTMENT OF SOCIAL WELFARE
P.O. Box ………….
25th March, 2025
The Magistrate
Subordinate Court
P.O BOX…………..
RE: SOCIAL WELFARE REPORT ON MALE/FEMALE CHILD IN CONFLICT WITH
THE LAW – (Name of a Child)
PERSONAL DETAILS
Name: ………………………………………
Sex: ………………………………………
AGE: ………………………………………
DOB ………………………………………
P.O.B: ………………………………………
RES/ADDRESS: ………………………………………
District: ………………………………………
Chief: ………………………………………
Education Level: ………………………………………
Tribe: ………………………………………
Religion: ………………………………………
Nationality: ………………………………………
Previous offence: ………………………………………………………………………..
Statement of Offence: ………………………………………………………………….
Particulars of Offence: ………………………………………………………………….
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FAMILY COMPOSITION
Father: ………………………………………………………………………..
Mother: ………………………………………………………………………
SIBLINGS
NAME SEX OCCUPATION
1. ……………............ ……. …………………
2. …………………… ……. …………………
PERSONAL AND FAMILY BACKGROUND
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EDUCATION BACKGROUND
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HOME CONDITION
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HEALTH RECORD
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HOBBIES AND ASSOCIATES
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CIRCUMSTANCES LEADING TO OFFENCE
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ATTITUDE TOWARDS THE OFFENCE BY THE CHILD IN CONFLICT WITH THE
LAW
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ANALYSIS AND RECOMMENDATION
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(Child Welfare Inspector’s name/Social Worker)
Child Welfare Officer
(Duty Stattion/Place/District)
Court Order: …………………………………………………………………………………
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Date of Order: ………………………… ……………………………….
Magistrate
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