未經同意散佈私密影像－下架支援 (NCII Ta-DA)

影像的內容是否包含您本人在內？ Are you depicted in the image? *

是 Yes 否 No

就是項「未經同意下發放私密影像」事件，您會否向警方報案？ For this incident of 'Non-consensual sharing of intimate image', will you consider reporting to police? *

已經報案 Reported 考慮中 Considering 不會 No

如果您打算報案或已經向警方報案，請務必於遞交表格前保留相關證據。Please be reminded to preserve the evidence if you are considering or reported to police.

報案日期 (月／年) Date of report (Month/ Year) *

影像被上載時，發放者與您的關係？ At the time of distribution, what is your relationship with the distributor? *

影像內容的網址 URL/s of content *

請提影像/貼文/影片/網頁的連結 (例如: Telegram Channel內容可以長按然後copy message link)。如需輸入多於一個網址，請分行以便辨識。如有必要，我們在跟進過程中會在不透露你個人身份的前提下，轉介有關連結的下架請求予我們有合作聯繫的支援團體。 Please provide the URL/s of the image/post/video/webpage. Please separate URLs with line breaks. If necessary, we will follow up the take-down request by referring the URL/s to support organisations that we collaborate with. The referral will not disclose your personal identity.

私密影像是在什麼情況下拍攝和發佈？How were the reported intimate images taken and disclosed? *

本人同意拍攝但沒有同意發放該影像 The images were taken consensually but disclosed without my consent 本人被要脅發放私密影像 Threats to share intimate images were exerted on me 本人未有同意拍攝該影像 The images were taken without my consent 本人未有授權將該影像發佈 The images were disclosed without my authorization 本人在被要脅／不情願的情況下拍攝該影像 The images were taken under threats/ without my consent 本人對該影像的發佈並不知情 The images were disclosed without my knowledge 本人在不知情的情況下被拍攝該影像 The images were taken without my knowledge 其他 Other

私密影像的內容和其他資訊 Content of the reported intimate images and others *

有內衣遮蓋的私密處 Intimate parts covered by undergarment 裸露的私密處 Exposed intimate parts 樣子或身體被移花接木至色情影像(如深偽色情） Facial or bodily features were superimposed on pornographic images (e.g. deepfake porn) 當時正進行自願性行為 Consensual sexual activities 當時正進行非自願的性行為 Non-consensual sexual activities 其他私人行為(如洗澡／如厠) Other private acts (e.g. showering, toileting) 不清楚影像的內容 Unclear about the content 其他 Other

備註 Remarks

若所檢舉的網絡平台若需特定資訊方可檢視，或檢舉的網絡平台為非公開的聊天群組，可在此註明。上述資訊將有助我們跟進。Please specify here, such as, the particular information that is required for accessing the content or the reported internet platform is a private/non-public chat group, etc.

就是項「未經同意下發放私密影像」事件，您需要本會提供以下協助嗎？(可選多項) For the incident of 'Non-consensual sharing of intimate image', do you need any of the following assistance? (You may choose more than one answer)

情緒支援 Emotional support (只限女性 Female only) 司法程序陪同服務 Accompaniment support on judicial procedures (只限女性 Female only) 法律諮詢 Legal consultation

您從什麼途徑得知我們下架支援服務？ Where did you know about the Ta-DA service?

協會網站 ACSVAW's Website SEEME.HK Instagram @acsvaw Facebook @acsvaw 宣傳單張 Leaflet 風雨蘭的服務 RainLily's service Anti480的活動 Anti480’s programme 其他 Other

REF

聯絡資料

有關影像的資訊