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Registry Sign Up Form

Your Details

Enter your name.
Enter your email address.

Enter Listing Details

Your name or handle.
Short description of what you are experiencing.
Area where you are from.
Click on above field and type to filter list or add a new region.
Click on above field and type to filter list or add a new city.
Please enter listing Zip/Post Code
Click on "Set Address on Map" and then you can also drag map marker to locate the correct address
Please enter latitude for google map perfection. eg. : 39.955823048131286
Please enter longitude for google map perfection. eg. : -75.14408111572266
Drop files here

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Allowed file types: .jpg, .jpe, .jpeg, .gif, .png, .bmp, .ico, .webp, .avif
(You can upload unlimited files with this package)
Please drag & drop the files to rearrange the order
When your abuse reality began.
Your birthday.
Psychological Manipulation
Auditory Experiences
Physical and Neurological Symptoms
Surveillance and Environmental Intrusions
Behavioral and Emotional Manipulation
Communication and Coordination
External Goals and Patterns
Please go through the list thoroughly.