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Международный
Альтернативный Суд


La Cour Internationale Alternative


The International Alternative Court


www.asud.us    sekret@asud.us    Sovet@asud.us        



The form of the application



THE INTERNATIONAL ALTERNATIVE COURT

 

APPLICATION

 

 

IMPORTANT:  This application is a formal legal document and may affect your rights and obligations.

 

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I. THE PARTIES

A. THE APPLICANT

 (Fill in the following details of the applicant and the representative, if any)


1. Surname..........................................

 

2. Sex: male / female


 
3. Nationality........................................

 

4. Occupation..........................................

 

5. Date and place of birth.................................................

 

6. Permanent address..............................................

 

7. Tel. No ..........................................................

 

8. Present address (if different from 6.)...............................................

 

9. Name of representative*..........................................

 

10. Occupation of representative

 

11. Address of representative

 

12. Tel. No...........................  Fax No...........................

 

B. The application moves on

(Specify data which you have about the person or group of persons or community or the state against which the complaint is directed)


13. ........................................................  

______

*.

(A form of authority signed by the applicant should be submitted if a representative is appointed.)

 

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II. STATEMENT OF THE FACTS

 

14.

 

 

 

 

 

(Continue on a separate sheet if necessary)


 

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III. STATEMENT OF ALLEGED VIOLATION(S) OF THE ARTICLE 5 OF THE  STATUTE OF THE  COURT


 

15.

 

 

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IV. STATEMENT RELATIVE TO THE PRELIMINARY DECISION OF ANY PUBLIC ORGANIZATION OR COURT




(If necessary, give the details mentioned below under points 16 to 18 on a separate sheet for each separate complaint)
 

16. Final decision (date and nature of decision)
 

 

 

 

17. Other decisions (list in chronological order, giving date, court or authority and nature of decision for each of them)
 

 

 

 

 

 

18. Is there or was there any other appeal or other remedy available to you which you have not used? If so, explain why you have not used it.

 

 

 

 

(Continue on a separate sheet if necessary)

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V. STATEMENT OF THE OBJECT OF THE APPLICATION AND YOUR CLAIMS

(Can express wishes)

19.

 



VI. STATEMENT CONCERNING OTHER INTERNATIONAL PROCEEDINGS

20. Have you submitted the above complaints to any other procedure of international investigation or settlement? If so, give full details.


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VII. LIST OF DOCUMENTS
      

(NO ORIGINAL DOCUMENTS, ONLY PHOTOCOPIE)


 

(Include copies of all decisions referred to in Parts IV and VI above. If you do not have copies, you should obtain them. If you cannot obtain them, explain why not. No documents will be returned to you.)

 

 

21.

а).....................................................

 

b).....................................................

 

c)......................................................


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VIII. DECLARATION AND SIGNATURE


 

I hereby declare that, to the best of my knowledge and belief,
the information I have given in the present application form is correct.

 

 

Place.........................................................

Date.....................................................

 

 

 

 

(Signature of the applicant or of the representative)