INDIAN PARANORMAL SOCIETY

INDIAN PARANORMAL SOCIETY REQUEST FORM

1. APPLICANT DETAILS

Full Name:

Age: Gender:

Mobile / WhatsApp:

Email:

Your Relationship to the Location: ☐ Owner   ☐ Resident   ☐ Family Member   ☐ Witness   ☐ Other:

2. LOCATION DETAILS

City: State:

Area / Locality:

Location Type: ☐ House   ☐ Apartment   ☐ Hotel   ☐ Workplace   ☐ Historical Site   ☐ Religious Place   ☐ Outdoor Location   ☐ Other:

Exact Address / Location Details:

Do you have permission/authority for our team to investigate this location? ☐ Yes   ☐ No

3. REPORTED INCIDENT

When did the activity first occur?

How often does it occur? ☐ Once   ☐ Occasionally   ☐ Frequently   ☐ Daily   ☐ Unknown

Usually occurs: ☐ Morning   ☐ Afternoon   ☐ Evening   ☐ Night   ☐ Unknown

Briefly describe what happened / what you experienced:

Are photos, videos, audio, CCTV or other evidence available? ☐ Yes   ☐ No

4. RECORDING & INTERVIEW CONSENT

May Indian Paranormal Society photograph or video-record the location during the investigation? ☐ Yes   ☐ No

May our team record your interview / statement? ☐ Yes   ☐ No

May family members / witnesses be interviewed and recorded? ☐ Yes   ☐ No   ☐ Only with their individual consent

5. IDENTITY & SOCIAL MEDIA CONSENT

May your real name be disclosed? ☐ Yes   ☐ No   ☐ First Name Only

May your face appear in published content? ☐ Yes   ☐ No   ☐ Blur My Face

May your voice be used? ☐ Yes   ☐ No   ☐ Alter My Voice

May the City be identified publicly? ☐ Yes   ☐ No

May the exact location/address be identified publicly? ☐ Yes   ☐ No

May investigation footage/photos/interviews be used on social media? ☐ Yes   ☐ No

Platforms: ☐ Instagram   ☐ YouTube   ☐ Facebook   ☐ Website   ☐ Other:

6. DECLARATION & CONSENT

“I confirm that the information provided above is true to the best of my knowledge. I understand that the investigation may identify ordinary, environmental, structural, technological or other explanations for reported events. I understand that investigation and social-media publication are separate permissions and that other participants may require their own consent.”

Applicant Name:

Signature / Digital Consent:

Date: