Caste Discrimination Experience Form
Caste Discrimination in Australia Consent
PurposeThis one-page form explains how information is collected, used, and protected when documenting experiences of caste discrimination in Australia. Participation is voluntary and you may choose to remain anonymous.
Purpose
Information is collected to document lived experiences of caste discrimination, identify systemic patterns, support advocacy, research, public education, and policy reform, and advocate for recognition of caste as a protected attribute under Australian anti-discrimination and human rights frameworks.
Who is Collecting This Information
This information is collected by Ambedkarite, Global Federation, an advocacy organisation addressing caste discrimination and the structural invisibility of caste-oppressed communities in Australia.
What Information May Be Collected
You may choose to provide personal or demographic information, details of experiences of caste discrimination, the setting in which discrimination occurred, and any supporting documents. You may participate anonymously and skip any question.
Use, Confidentiality & Storage
Information will be used primarily in de-identified and aggregated form for research, advocacy, submissions, and education. Identifiable information will not be shared without explicit consent. Data is stored securely and handled in accordance with the Privacy Act 1988 (Cth) and Australian Privacy Principles, where applicable.
Voluntary Participation & Withdrawal
Participation is voluntary. You may stop at any time or request withdrawal or deletion of your information, subject to practical limitations where data has already been de-identified and aggregated.
Privacy Policy & Consent
Please review the consent information and answer the consent questions before continuing.
I have read and understood this information
*
I agree
I understand that participation is voluntary
*
I agree
I consent to the collection and use of my information for the purposes described
*
I agree
I consent to my information being used only in de-identified form
*
I agree
(Optional) I consent to being contacted for follow-up or clarification
I agree
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Your Name (Optional)
First Name
Last Name
Your Email (Optional, if you wish to be contacted)
example@example.com
Age Group (Optional)
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
Gender (Optional)
Please Select
Female
Male
Non-binary
Prefer to self-describe
Prefer not to say
Do you identify as a member of a caste-oppressed community? (Optional)
Yes
No
Prefer not to say
Please describe the incident of caste discrimination you experienced or witnessed
*
Where did the incident occur? (Select all that apply)
Workplace
Educational institution
Public space
Religious institution
Online
Other
When did the incident occur?
*
-
Month
-
Day
Year
Date
Did you report the incident to any authority or institution? (Optional)
Yes
No
Prefer not to say
Would you like to share any supporting documents? (Optional)
Upload a File
Drag and drop files here
Choose a file
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Is there anything else you would like to share? (Optional)
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