Documente Academic
Documente Profesional
Documente Cultură
RON 2014/1
Formular de
cerere
Precizri cu privire la acest
formular de cerere
Prezentul formular este un document juridic
oficial i v poate afecta drepturile i
obligaiile. Pentru a-l completa, trebuie s
urmai instruciunile care figureaz n
documentul Cum se completeaz formularul
de cerere. Asigurai-v c ai completat toate
rubricile care se refer la situaia
dumneavoastr i c ai anexat toate
documentele pertinente.
Numr de referin
B. Reclamant (organizaie)
Aceast rubric trebuie completat doar dac
reclamantul este o societate,
organizaie neguvernamental, asociaie sau orice
alt entitate juridic.
9. Nume
2. Prenume (toate)
10. Numr de nregistrare (dac este cazul)
3. Data naterii
ex.
27
Z
4. Ceteni
e
/09/2012
A
Z
ex.
27/09/2012
15. E-mail
2/11
Avocat
17 Nume
.
26 Cetenie
.
18 Prenume
.
27 Adres
.
25 Prenume
.
19. Cetenie
20. Adres
28. Telefon (inclusiv prefixul rii)
29. Fax
30. E-mail
22. Fax
23. E-mail
Procur
Reclamantul trebuie s l mputerniceasc pe reprezentant s acioneze n numele su, semnnd
formularul de procur de mai jos
(a se vedea documentul Cum se completeaz formularul de cerere).
Prin prezenta mputernicesc persoana desemnat mai sus n scopul de a m reprezenta n
procedura n faa Curii Europene a Drepturilor Omului n legtur cu cererea pe care am introdus-o,
n baza articolului 34 al Conveniei.
32. Data
ex.
27/09/2012
3/11
ALB - Albania
ITA - Italia
AND - Andora
ARM - Armenia
LIE - Liechtenstein
LTU - Lituania
AUT - Austria
LUX - Luxemburg
AZE - Azerbaidjan
LVA - Letonia
BEL - Belgia
MCO - Monaco
BGR - Bulgaria
CYP - Cipru
MNE - Muntenegru
NLD - Olanda
DEU - Germania
NOR - Norvegia
DNK - Danemarca
POL - Polonia
ESP - Spania
PRT - Portugalia
EST - Estonia
ROU - Romnia
FIN - Finlanda
FRA - Frana
SRB - Serbia
GEO - Georgia
GRC - Grecia
SVN - Slovenia
HRV - Croaia
SWE - Suedia
HUN - Ungaria
TUR - Turcia
IRL - Irlanda
UKR - Ucraina
ISL - Islanda
4/11
Obiectul cererii
Toate informaiile referitoare la fapte, capetele de cerere i respectarea de ctre reclamant a
cerinelor epuizrii cilor de recurs interne i a termenului de ase luni (articolul 35 paragraful 1
din Convenie) trebuie s figureze la rubricile E, F i G ale formularului de cerere (articolul 47
paragraful 2 a) din Regulamentul Curii). Reclamantul are posibilitatea de a completa aceste
informaii anexnd la formularul de cerere un document de maximum 20 de pagini (articolul 47
paragraful 2 b) din Regulament). n acest numr de pagini nu sunt incluse deciziile i
documentele anexate la formular.
E. Expunerea faptelor
34.
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La completarea acestei rubrici, asigurai-v c v limitai la spaiul prevzut n acest scop. Adaptai
textul n consecin. n cazul n care dorii s transmitei informaii suplimentare, consultai documentul
Cum se completeaz formularul de cerere.
5/11
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La completarea acestei rubrici, asigurai-v c v limitai la spaiul prevzut n acest scop. Adaptai
textul n consecin. n cazul n care dorii s transmitei informaii suplimentare, consultai
documentul Cum se completeaz formularul de cerere .
6/11
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La completarea acestei rubrici, asigurai-v c v limitai la spaiul prevzut n acest scop. Adaptai
textul n consecin. n cazul n care dorii s transmitei informaii suplimentare, consultai
documentul Cum se completeaz formularul de cerere .
7/11
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G. Confirmai, pentru fiecare capt de cerere, c ai epuizat toate cile de recurs disponibile n statul n
cauz, inclusiv orice cale de atac (apel i/sau recurs); indicai, de asemenea, data la care decizia
intern definitiv/irevocabil a fost pronunat, precum i data la care a
existat posibilitatea de a lua cunotin de textul integral al acestei decizii, pentru a face dovada
respectrii termenului de ase luni.
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Da
Nu
40. Dac ai rspuns afirmativ, menionai ce cale de recurs nu ai exercitat i pentru ce motiv nu ai fcut-o.
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Da
42. Dac ai rspuns afirmativ, descriei procedura n mod concis (capetele de cerere prezentate, numele
instanei internaionale, data i natura eventualelor decizii luate).
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43. Reclamantul a mai introdus pn acum una sau mai multe cereri n faa
Curii?
D
a
Nu
44. Dac ai rspuns afirmativ, indicai n rubrica urmtoare numrul (numerele) cererii (cererilor) respective.
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10/11
45. Indicai n rubrica de mai jos, n ordine cronologic, documentele anexate la formularul de cerere, cu o
scurt descriere a acestora.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
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Alte observaii
Avei alte observaii de formulat cu privire la cererea
dumneavoastr? 46. Observaii
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Declaraia i semntura
Declar pe onoare i n deplin cunotin de cauz c informaiile ce figureaz n prezentul
formular de cerere sunt exacte. 47. Data
ex. 27/09/2012
Z
Reclamant (Reclamani)
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Formularul de cerere
completat trebuie semnat i
trimis prin pot la
urmtoarea adres :
Monsieur le Greffier de la
Cour europenne des droits de
lhomme Conseil de lEurope
67075 STRASBOURG CEDEX
FRANCE