Prosimo, upoštevajte, da pritožbeni obrazec deluje samo s pomočjo programa Adobe Reader, in sicer različice 9 ali novejše (program lahko prenesete s spletne strani www.adobe.com). Prosimo, da shranite kopijo obrazca na svojem računalniku, obrazec nato izpolnite v programu Adobe Reader, ga natisnete in pošljete po pošti na Sodišče. SLV - 2014/1 Pritožbeni obrazec O tem pritožbenem obrazcu Ta pritožbeni obrazec je pravni dokument in lahko vpliva na vaše pravice in dolžnosti. Upoštevajte Navodila za izpolnjevanje pritožbenega obrazca. Prepričajte se, da ste izpolnili vsa polja, ki se nanašajo na vašo zadevo, in priložili vse potrebne dokumente. Črtna koda Opozorilo: Če je vaša pritožba nepopolna, je ne bomo obravnavali (glej 47. člen Pravilnika sodišča). Upoštevajte zlasti 2. odstavek 47. člena: „Vsi podatki iz točk (d) do (f) 1. odstavka tega člena [navedba dejstev, očitane kršitve in podatki o izpolnjevanju meril dopustnosti] morajo biti v ustreznem delu pritožbenega obrazca navedeni dovolj podrobno, da lahko Sodišče določi naravo in obseg pritožbe, ne da bi za to potrebovalo druge dokumente.“ Številka vloge Če ste od Evropskega Sodišča za človekove pravice že prejeli črtne kode, eno kodo prilepite v spodnje okence. Če ste že bili obveščeni o številki vloge na Sodišču v zvezi s temi očitki, jo navedite v spodnje okence. A. Pritožnik (posameznik) B. Pritožnik (pravna oseba) Ta oddelek se nanaša le na pritožnike, ki so fizične osebe. Če je pritožnik pravna oseba, izpolnite Oddelek B. Ta oddelek je treba izpolniti samo, če je pritožnik družba, mednarodna organizacija ali druga pravna oseba. 1. Priimek 9. Ime 2. Ime 10. Identifikacijska številka (če obstaja) 3. Datum rojstva npr. 27/09/2012 D D M M L L L 11. Datum registracije ali pridobitve pravne osebnosti (če obstaja) L 4. Državljanstvo npr. 27/09/2012 D D M M L L L L 12. Dejavnost 5. Naslov 13. Uradni sedež 6. Telefonska številka (vključno z mednarodno klicno kodo) 7. E-poštni naslov (če obstaja) 14. Telefonska številka (vključno z mednarodno klicno kodo) 8. Spol moški ženski 15. E-poštni naslov Evropsko sodišče za človekove pravice – Pritožbeni obrazec 2/11 C. Zastopanje pritožnika Če pritožnik nima zastopnika, nadaljujte z Oddelkom D. Drugi zastopnik ali zastopnik pravne osebe Odvetnik Ta del obrazca izpolnite, če zastopate pritožnika, vendar niste odvetnik. Ta del obrazca izpolnite, če pritožnika zastopate kot odvetnik. V okencu razložite, v kakšni vlogi zastopate pritožnika, ali navedite vaše razmerje do pritožnika ali vašo uradno funkcijo (če zastopate pravno osebo). 24. Priimek 16. Vloga / razmerje / funkcija 25. Ime 17. Priimek 26. Državljanstvo 18. Ime 27. Naslov 19. Državljanstvo 20. Naslov 28. Telefonska številka (vključno z mednarodno klicno kodo) 29. Številka telefaksa 21. Telefonska številka (vključno z mednarodno klicno kodo) 30. E-poštni naslov 22. Številka telefaksa 23. E-poštni naslov Pooblastilo Spodaj navedeno pooblastilo podpišite, če želite za zastopanje pooblastiti zastopnika (glej Navodila za izpolnjevanje pritožbenega obrazca). Navedeno osebo pooblaščam, da me zastopa v postopku pred Evropskim sodiščem za človekove pravice v zvezi s pritožbo, ki sem jo vložil/a v skladu s 34. členom Konvencije. 31. Podpis pritožnika 32. Datum npr. 27/09/2012 D D M M L L L L Evropsko sodišče za človekove pravice – Pritožbeni obrazec 3/11 D. Tožena država/države 33. Odkljukajte ime/imena države/držav, na katere se nanaša pritožba. ALB - Albanija ITA - Italija AND - Andora LIE - Lihtenštajn ARM - Armenija LTU - Litva AUT - Avstrija LUX - Luksemburg AZE - Azerbajdžan LVA - Latvija BEL - Belgija MCO - Monako BGR - Bolgarija MDA - Republika Moldavija BIH - Bosna in Hercegovina MKD - "Nekdanja jugoslovanska republika Makedonija" CHE - Švica MLT - Malta CYP - Ciper MNE - Črna gora CZE - Češka republikac NLD - Nizozemska DEU - Nemčija NOR - Norveška DNK - Danska POL - Poljska ESP - Španija PRT - Portugalska EST - Estonija ROU - Romunija FIN - Finska RUS - Ruska federacija FRA - Francija SMR - San Marino GBR - Združeno kraljestvo SRB - Srbija GEO - Gruzija SVK - Slovaška republika GRC - Grčija SVN - Slovenija HRV - Hrvaška SWE - Švedska HUN - Madžarska TUR - Turčija IRL - Irska UKR - Ukrajina ISL - Islandija Evropsko sodišče za človekove pravice – Pritožbeni obrazec 4/11 Vsebina pritožbe V tem oddelku pritožbenega obrazca (oddelki E., F. in G.) morate navesti vse podatke o dejstvih, očitkih ter izpolnjevanju zahtev v zvezi z izčrpanjem domačih sredstev in šestmesečnim rokom iz 1. odstavka 35. člena Konvencije (točka (a) 2. odstavka 47. člena Poslovnika Sodišča). K pritožbenemu obrazcu lahko priložite dodatno obrazložitev teh podatkov, ki lahko obsega največ 20 strani (točka (b) 2. odstavka 47. člena Poslovnika Sodišča); omejitev strani ne velja za kopije priloženih dokumentov in odločb. E. Opis dejstev 34. ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Pri vnašanju podatkov v ta oddelek upoštevajte razpoložljiv prostor in besedilo ustrezno prilagodite. Če želite predložiti dodatne podatke, glejte »Navodila za izpolnjevanje pritožbenega obrazca«. Evropsko sodišče za človekove pravice – Pritožbeni obrazec 5/11 Opis dejstev (nadaljevanje) 35. ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Pri vnašanju podatkov v ta oddelek upoštevajte razpoložljiv prostor in besedilo ustrezno prilagodite. Če želite predložiti dodatne podatke, glejte »Navodila za izpolnjevanje pritožbenega obrazca«. Evropsko sodišče za človekove pravice – Pritožbeni obrazec 6/11 Opis dejstev (nadaljevanje) 36. ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Pri vnašanju podatkov v ta oddelek upoštevajte razpoložljiv prostor in besedilo ustrezno prilagodite. Če želite predložiti dodatne podatke, glejte »Navodila za izpolnjevanje pritožbenega obrazca«. Evropsko sodišče za človekove pravice – Pritožbeni obrazec 7/11 F. Izjava o očitani kršitvi/kršitvah Konvencije in/ali njenih protokolov ter relevantni argumenti 37. Člen, na katerega se sklicujete Obrazložitev ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Evropsko sodišče za človekove pravice – Pritožbeni obrazec 8/11 G. Potrdite, da ste v zvezi z vsemi očitki izčrpali vsa učinkovita pravna sredstva v zadevni državi, vključno s pritožbami, ter navedite datume izdaje in prejetja odločb na nacionalni ravni, s čimer boste dokazali, da ste upoštevali šestmesečni rok. 38. Očitek Podatki o pravnih sredstvih in datum končne odločbe ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Evropsko sodišče za človekove pravice – Pritožbeni obrazec 39. Ste imeli na voljo še kako pravno sredstvo ali možnost pritožbe, ki ju niste uporabili? 9/11 Da Ne 40. Če ste na zgornje vprašanje odgovorili z da, navedite, katere možnosti pritožbe ali pravnega sredstva niste uporabili, in razloge za to. ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ H. Podatki o (morebitnih) drugih mednarodnih postopkih 41. Ste v zvezi s katerim koli od teh očitkov začeli drug postopek mednarodne preiskave ali reševanja spora? Da Ne 42. Če ste na zgornje vprašanje odgovorili z da, kratko in jedrnato opišite postopek (predloženi očitki, ime mednarodnega organa ter datum in naravo morebitnih odločb). ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ 43. Ali ste na Sodišče že vložili druge vloge? Da Ne 44. Če ste na zgornje vprašanje odgovorili z da, v spodnje okence navedite ustrezne številke zadev. __________________________________________________________________________________________________ __________________________________________________________________________________________________ Evropsko sodišče za človekove pravice – Pritožbeni obrazec 10/11 I. Seznam prilog Priložiti morate popolne in razumljive kopije vseh dokumentov. Dokumentov ne vračamo, zato je v vašem interesu, da predložite kopije, ne izvirnikov dokumentov. OPOZARJAMO VAS, DA: - morajo biti dokumenti razvrščeni glede na datum in postopek; - morajo biti strani oštevilčene; - dokumentov NE SMETE spenjati, vezati ali lepiti. 45. V okence navedite dokumente v časovnem zaporedju in jih na kratko opišite. 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. _____________________________________________________________________________________________ Evropsko sodišče za človekove pravice – Pritožbeni obrazec 11/11 Druge pripombe Imate dodatne pripombe o vaši pritožbi? 46. Pripombe __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Izjava in podpis Potrjujem verodostojnost navedb v tem pritožbenem obrazcu po moji najboljši vednosti. 47. Datum npr. 27/09/2012 D D M M L L L L Pritožnik/pritožniki ali pritožnikov zastopnik/zastopniki se morajo podpisati v okence. 48. Podpis/podpisi pritožnik/pritožniki zastopnik/zastopniki – ustrezno odkljukajte Določitev osebe, pooblaščene za prejemanje in pošiljanje pošte Sodišču Če je pritožnikov ali zastopnikov več, navedite ime in naslov ene osebe, ki bo prejemala in pošiljala pošto Sodišču. 49. Ime in naslov pritožnika zastopnika – ustrezno odkljukajte __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Izpolnjen pritožbeni obrazec podpišite in pošljite na naslednji naslov: The Registrar European Court of Human Rights Council of Europe 67075 STRASBOURG CEDEX FRANCE