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Reader, apoi imprimai-l i trimitei-l la Curte prin pot.

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.

Etichete cu coduri de bare

Avertisment : Cererea dumneavoastr nu va fi acceptat dac este

incomplet (articolul 47 din Regulamentul Curii). De reinut, n mod
special, c articolul 47 paragraful 2 a) din Regulament prevede c :
Toate elementele citate la alineatele d) pn la f) ale paragrafului 1
[expunerea faptelor, nclcrile pretinse ale Conveniei i
informaiile cu privire la respectarea criteriilor de admisibilitate]
trebuie s fie prezentate n partea corespunztoare a formularului
de cerere i trebuie s fie suficiente, pentru a permite Curii s
determine natura i obiectul cererii fr a necesita consultarea altor
documente.

Numr de referin

Dac ai primit deja din partea Curii Europene a Drepturilor

Omului un lot de etichete cu coduri de bare, lipii una din
acestea n rubrica de mai jos.

Dac ai primit deja din partea Curii un numr de referin

pentru aceste capete de cerere, indicai-l n rubrica de mai jos.

A. Reclamant (persoan fizic)

B. Reclamant (organizaie)

Aceast rubric privete doar reclamanii persoane fizice.

Trecei la rubrica B dac reclamantul este o organizaie.

Aceast rubric trebuie completat doar dac reclamantul este o societate,

organizaie neguvernamental, asociaie sau orice alt entitate juridic.

1. Nume

9. Nume

IONESCU
2. Prenume (toate)

Alexandra Cristina

10. Numr de nregistrare (dac este cazul)

3. Data naterii

5 ex. 27/09/2012

4. Cetenie

Romana

11. Data nregistrrii sau nfiinrii (dac este cazul)

ex. 27/09/2012
Z

12. Domeniu de activitate

5. Adres

Romania: Str. Mslinului, Nr. 16, Sect. 1, Bucureti

13. Sediu

6. Telefon (inclusiv prefixul rii)

0040768040448
7. E-mail (dac este cazul)

ionescu_sacha@yahoo.com

14. Telefon (inclusiv prefixul rii)

8. Sex
masculin
feminin

15. E-mail

Curtea European a Drepturilor Omului Formular de cerere

2/11

C. Reprezentantul (Reprezentanii) reclamantului

Dac reclamantul nu este reprezentat, trecei la rubrica D.

Reprezentant care nu este avocat / Reprezentant al

unei organizaii

Completai aceast parte a formularului dac l reprezentai pe

reclamant ns nu suntei avocat.
Explicai n rubrica de mai jos n ce calitate l reprezentai pe
reclamant sau ce legtur avei cu acesta ori, dac este vorba de
o organizaie, ce funcie oficial ocupai n cadrul acesteia.

16. Calitate / legtur / funcie

Avocat
Completai aceast parte a formularului dac l reprezentai
pe reclamant n calitate de avocat.
24. Nume

Dobrovici
25. Prenume

Nicolas
17. Nume

26. Cetenie

Romana
18. Prenume

27. Adres

Bucuresti, Bdl. Grivita, nr. 200 sector 1

19. Cetenie

20. Adres

28. Telefon (inclusiv prefixul rii)

0040724479474
29. Fax

21. Telefon (inclusiv prefixul rii)

30. E-mail

nicolas.dobrovici@yahoo.com
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.

31. Semntura reclamantului

32. Data

ex. 27/09/2012

Curtea European a Drepturilor Omului Formular de cerere

3/11

D. Statul (Statele) mpotriva cruia (crora) introducei cererea

33. Bifai rubrica (rubricile) corespunztoare Statului (Statelor) mpotriva cruia (crora) introducei cererea.

ALB - Albania

ITA - Italia

AND - Andora

LIE - Liechtenstein

ARM - Armenia

LTU - Lituania

AUT - Austria

LUX - Luxemburg

AZE - Azerbaidjan

LVA - Letonia

BEL - Belgia

MCO - Monaco

BGR - Bulgaria

MDA - Republica Moldova

BIH - Bosnia i Heregovina

MKD - Fosta Republic Iugoslav a Macedoniei

CHE - Elveia

MLT - Malta

CYP - Cipru

MNE - Muntenegru

CZE - Republica Ceh

NLD - Olanda

DEU - Germania

NOR - Norvegia

DNK - Danemarca

POL - Polonia

ESP - Spania

PRT - Portugalia

EST - Estonia

ROU - Romnia

FIN - Finlanda

RUS - Federaia Rus

FRA - Frana

SMR - San Marino

GBR - Marea Britanie

SRB - Serbia

GEO - Georgia

SVK - Republica Slovac

GRC - Grecia

SVN - Slovenia

HRV - Croaia

SWE - Suedia

HUN - Ungaria

TUR - Turcia

IRL - Irlanda

UKR - Ucraina

ISL - Islanda

Curtea European a Drepturilor Omului Formular de cerere

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.

La data de 15.02.2013, reclamanta Ionescu Alexandra Cristina, n timp ce se afla n Piaa Roman ndreptndu-se spre
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teatru, a fost oprit de un echipaj al Poliiei, care legitima i percheziiona toate persoanele care treceau n acel moment
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prin zona, deoarece n acel moment, aveau loc manifestaii.
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n momentul legitimrii, i s-au pus ntrebri cu privire la manifestaii, reclamanta rspunznd la toate ntrebriile adresate
dar n ciuda cooperrii acesta a fost bruscat, jignit i totodat obligat s nsoeasc echipajul de poliie la secie unde a fost
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reinut timp de 36 ore i a fost obligat s scrie i s dea o declaraie fr s fi comis vreo infraciune. Reclamata nu a fost lasat s
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telefoneze rudelor, avocatului, i-a fost interzis s ia legtura cu oricine. S-a eliberat mandat de arest dup 36 de ore de la
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reinere, sub acuzaia de ultraj contra autoritii (art 257) n concurs cu distrugere calificat (art.254 NCP)
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n urmtoarele zile, reclamanta a fost supus interogatoriilor de ctre organele de ordine n mod abuziv, fr a i se oferi un
avocat. Ulterior familia a angajat un avocat iar dup 29 de zile de arest, n urma discuiilor purtate cu cei din cadrul
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poliiei, reclamanta a fost eliberat.
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n momentul eliberri din arest, reclamanta s-a prezentat la INML, unde medicul legist a conastat n baza unui
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certificat leziuni craniere n urma loviturilor. Totodat medicul legist a constat ca reclamanta necesita ngrijiri
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medicale. Revenind cu o plngere la secia de poliie unde a fost arestata reclamanta, cei care au interogat-o au
afirmat ca leziunile constate la reclamant sunt provocate n timpul somnului de acesta sau de celelalte persoane cu
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care a fost nchis. Totodat loviturile mai sunt justificate de ctre poliiti ca fiind urmrile purtrii agresive a reclamantei n
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incinta poliiei, a arestului preventiv, leziunile fiind provocate i n timpul imobilizrii reclamantei.
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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.

Curtea European a Drepturilor Omului Formular de cerere

5/11

Expunerea faptelor (continuare)

35.

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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.

Curtea European a Drepturilor Omului Formular de cerere

6/11

Expunerea faptelor (continuare)

36.

Solicit Curtii Europene a Drepturilor Omului s oblige statul Romn la reparaia prejudiciului care const n:
________________________________________________________________________________________________
- plata sumei de 3.000 de euro reprezentnd cheltuielile medicale;
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- plata sumei de 20.000 de euro cu titlu de prejudiciu moral;
- plata sumei de 8.000 de euro pentru cheltuielile de judecat efectuate n faa jurisdiciilor interne
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- plata sumei de 4.500 euro pentru cheltuielile suportate n faa Curii Europene
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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.

Curtea European a Drepturilor Omului Formular de cerere

7/11

F. Expunerea pretinselor nclcri ale Conveniei i/sau ale Protocoalelor, precum i a argumentelor n sprijinul acestor afirmaii
37. Articol invocat

Explicaie

1) art. 3 din Convenie;

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2) art. 5 alin 1 din Convenie
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3) art. 6 alin 1 din Convenie
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1)n fapt prin faptele organelor de poliie i a jandarmeriei, au fost nclcate prevederile
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Conveniei Europene a Drepturilor Omului, astfel n urma actelor de violena efectuate
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de ctre organele de poliie n timpul arestului se ncalc prevederile art. 3 ale Conveniei
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potrivit creia : Nimeni nu poate fii supus torturii, nici pedepselor sau tratamentelor
inumane ori degradante
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2)Orice persoan are dreptul la libertate i la siguran. Nimeni nu poate fi lipsit de
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libertatea sa, cu excepia cazurilor prevzute n Convenie, se ncalc acest articol,
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respectiv motivul fiind reinerea reclamantei fr motiv pentru cele 36 de ore
3)"Orice persoan are dreptul la judecarea cauzei sale n mod echitabil, n mod public
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i n termen rezonabil, de ctre o instan independent i imparial, instituit de lege, care
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va hotr fie asupra nclcrii drepturilor i obligaiilor sale cu caracter civil, fie asupra
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temeiniciei oricrei acuzaii n materie penal ndreptate mpotriva sa. 2. Orice persoan
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acuzat de o infraciune este prezumat nevinovat pn ce vinovia sa va fi legal stabilit.
3. Orice acuzat are, mai ales, dreptul :
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a. s fie informat, n termenul cel mai scurt, ntr-o limb pe care o nelege i n mod
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amnunit, despre natura i cauza acuzaiei aduse mpotriva sa ;
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b. s dispun de timpul i de nlesnirile necesare pregtirii aprrii sale ;
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c. s se apere el nsui sau s fie asistat de un aprtor ales de el i, dac nu dispune de
mijloacele necesare remunerrii unui aprtor, s poat fi asistat gratuit de un avocat din
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oficiu, atunci cnd interesele justiiei o cer ;
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n fapt, reclamanta a fost reinut 36 de ore fr a i se spune motivul. De altfel, prin
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violenele la care a fost supus, se face dovada ca nu a existat nicio prezumie de
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nevinovie. O alt ncalcare privind reclamanta se refer la dreptul de a avea un avocat,
acesta fiindu-i refuzat in primele 36 de ore.
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Curtea European a Drepturilor Omului Formular de cerere

8/11

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.

38. Capt de cerere

Ci de recurs exercitate i data deciziei definitive/irevocabile

CONSTITUIA
ROMNIEI
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respectiv
Art.
22 Dreptul la via i
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la integritate fizic i psihic
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(1)
Dreptul la via, precum i
dreptul
la integritate fizic i psihic
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ale
persoanei
sunt garantate.
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(2) Nimeni nu poate fi supus
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torturii
i nici unui fel de pedeaps
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sau
de tratament inuman ori
degradant.
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Judectoria Bucureti prin sentina nr. 17/12.11.2013 decide nenceperea urmririi

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penale mpotriva ofierilor de poliie implicai n aciune, acuzaiile fiind nefondate i
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totodat respinge n subsidiar plata cheltuielilor medicale.
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Tribunalul Bucureti, prin hotrrea nr. 245 /15.04.2014 dispune nenceperea urmrii
penale mpotriva organelor de poliie implicate n dosar.
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Prin decizia nr. 26/01.10.2014 data de Curtea de Apel Bucureti se respinge recursul
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ca nefondat. Instanta a decis faptul c hotrrile date de ctre instanele inferioare n
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competen au fost cele corecte.
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Curtea European a Drepturilor Omului Formular de cerere

39. Dispunei sau ai dispus de o cale de recurs pe care nu ai exercitat-o?

9/11
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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H. Informaii cu privire la alte instane internaionale care examineaz sau au examinat cererea (dac este cazul)
41. Reclamantul a prezentat oricare dintre aceste capete de cerere n faa unei alte instane
internaionale de anchet sau reglementare a diferendelor?

Da
Nu

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?

Da
Nu

44. Dac ai rspuns afirmativ, indicai n rubrica urmtoare numrul (numerele) cererii (cererilor) respective.

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Curtea European a Drepturilor Omului Formular de cerere

10/11

I. Lista documentelor anexate

Trebuie s anexai copii integrale i lizibile ale tuturor documentelor.
Niciun document nu v va fi restituit. Prin urmare, este n interesul dumneavoastr s transmitei Curii copii, i nu originale.
TREBUIE:
- s clasai documentele n funcie de dat i procedur,
- s numerotai paginile n mod consecutiv,
- s NU capsai, legai sau lipii documentele.
.
45. Indicai n rubrica de mai jos, n ordine cronologic, documentele anexate la formularul de cerere, cu o scurt descriere a acestora.

1.

Certificat medico legal nr. 112 eliberat la data de 18.03.2013 de ctre Institutul Naional de Medicin Legal 'Mina Minovici'
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2.

Evaluare medico legal nr. 156 eliberat la data de 01.04.2013 de ctre Institutul Naional de Medicin Legal 'Mina Minovici'
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3.

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4.

Sentina nr. 17/12.11.2013 dat de Judectoria Bucureti

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Hotrrea nr. 245 /15.04.2014 dat de Tribunalul Bucureti
Decizia nr. 26/01.10.2014 dat de Curtea de Apel Bucureti

5.

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6.

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7.
8.
9.
10.
11.

Copie paaport reclamant

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Copie carte de identitate reclamant
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Copie certificat de natere
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Copie rechizitoriu
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Delegaie reprezentant
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Procur special reprezentant

12. _____________________________________________________________________________________________
13. _____________________________________________________________________________________________
14. _____________________________________________________________________________________________
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16. _____________________________________________________________________________________________
17. _____________________________________________________________________________________________
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19. _____________________________________________________________________________________________
20. _____________________________________________________________________________________________
21. _____________________________________________________________________________________________
22. _____________________________________________________________________________________________
23. _____________________________________________________________________________________________
24. _____________________________________________________________________________________________
25. _____________________________________________________________________________________________

Curtea European a Drepturilor Omului Formular de cerere

11/11

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

Reclamantul (reclamanii) sau reprezentantul (reprezentanii) acestuia (acestora) trebuie s semneze formularul n chenarul de mai jos.
48. Semntur (semnturi)

Reclamant (Reclamani)

Reprezentant (Reprezentani) Bifai opiunea corespunztoare

Desemnarea persoanei cu care se poart corespondena

n cazul n care sunt mai muli reclamani sau reprezentani, indicai numele i adresa unei singure persoane cu care Curtea va purta
corespondena.
49. Numele i adresa

reclamantului

reprezentantului Bifai opiunea corespunztoare

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Avocat
Dobrovici Nicolas, Romnia, Bucureti, Bdl Grivia, nr. 200,
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Sector
1
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Telefon:
+4024479474
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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