Reporting form

Formulir pelaporan kejadian terdampar (Stranding reporting form)

Mohon kirimkan foto ke strandingindonesia@gmail.com (please send the photos directly to strandingindonesia@gmail.com)

* Indicates required field

Tanggal kejadian terdampar (Date of stranding) *

Lokasi, termasuk provinsi mana (Location, including what province) *

Lintang bujur (latitude and longitude) *

Nama spesies jika tahu (species name if known) *

Kondisi saat ditemukan jika terdampar sendiri (Condition when found single stranding) *

Kode 1: Hidup (Code 1: alive) Kode 2: Baru saja mati, masih segar (Code 2: just died, still fresh) Kode 3: Mati, mulai bau atau membusuk (Code 3: dead, starting to smell or decompose) Kode 4: Bangkai sangat bau, kulit mengelupas, ada gas dlm perut (Code 4: carcass very smelly, skin peeling off, gas inside the stomach) Kode 5: Rangka (Code 5: skeleton or mummified)

Kondisi saat ditemukan jika massal, jelaskan kondisi seluruh hewan, misal berapa yang Kode 1, Kode 2, dll (Condition when found if mass stranding, explain all conditions e.g. how many Code 1, Code 2, etc) *

Jumlah hewan (number of individuals) *

Panjang hewan (meter) jika hanya satu ekor (Length in meter if just one animal) *

Panjang maksimum dan minimum (meter) jika > 1 hewan (Max and min length in meter if > 1 animal) *

Info tambahan (More info) *

Nama pelapor (Name of reporter) *

First

Last

Email *

Nomor telepon (Phone number) *

Institusi pelapor (Reporter's institution) *

Submit