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2. Prenume
10. Numr de nregistrare (dac este cazul)
3. Data naterii
ex. 27/09/2012 11. Data nregistrrii sau nfiinrii (dac este cazul)
Z Z L L A A A A ex. 27/09/2012
4. Cetenie Z Z L L A A A A
12. Domeniu de activitate
5. Adres
13. Sediu
8. Sex
masculin 15. E-mail
feminin
Curtea European a Drepturilor Omului Formular de cerere 2/11
19. Cetenie
20. Adres
29. Fax
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.
ex. 27/09/2012
Z Z L L A A A A
Curtea European a Drepturilor Omului Formular de cerere 3/11
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.
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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
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
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
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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.
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 Da
internaionale de anchet sau reglementare a diferendelor?
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
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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
Z Z L L A A A A
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
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Monsieur le Greffier de la
Cour europenne des droits de lhomme
Conseil de lEurope
67075 STRASBOURG CEDEX
FRANCE