Human Rights Observor

INFORMATION CONCERNING THE AUTHOR (S) OF THE COMMUNICATION OR THE ALLEGED VICTIM (S) IF OTHER THAN THE AUTHOR

Personal Information*


Submitting the Complaint:*

On the Author's own behalf

On behalf of other persons

Information on the violation concerned*

Name of the public, private sectors, groups, or individual(s) non-governmental or governmental authorities responsible for the alleged violation(s)*

Facts of the complaint and nature of the alleged violation(s)*

Please detail, the facts and circumstances of the alleged violations including dates, places and alleged perpetrators and how you consider that the facts and circumstances described violate your rights or that of the concerned person(s). *

Exhaustion of Domestic Remedies *

Steps taken by or on behalf of the alleged victim(s) to exhaust domestic remedies - please provide details on the procedures which have been pursued, including recourse to the courts and other public authorities as well as human rights organizations, the claims made, at which times, and what the outcome was *

Request for confidentiality *

Please state whether you would like your identity or any specific information contained in the complaint to be kept confidential.
Request for confidentiality (Please Check as appropriate): Yes NO
Please indicate which Information you would like to be kept confidential and justification

Date * Signature*

Note:
The Peace Mission Human Rights Observor, researches and evaluates the nature of alleged violation on basis of this information and through the other independent resources. If the violation is true-to-type under the scope of Universal Fundamental Human Rights then may pursue (the cooperation of other organizations, public or private sectors for) adopting possible procedures for concerned’ human rights protection, and promotion.

Checklist of supporting documents *

Please note that the Peace Mission Human Rights Observor requires you to provide the following supporting documents (copy), check the documents you may have and produce on demand (later).
Decisions of domestic courts and authorities on the claim made (a copy of the relevant national legislation is also helpful):*
Complaints sent to any other organization, forum, or authority (ies):*
Any other evidence or supporting documents deemed necessary:*