POR - 2014/1

Formulário de queixa

Sobre o formulárioO presente formulário é um documento legal e pode afetar os seus direitos e obrigações. Para preenchê-lo, siga as instruções indicadas no documento Como preencher o formulário de queixa. Certifique-se que preencheu todos os campos que se aplicam à sua situação e que forneceu todos os documentos pertinentes.

Aviso: Se a sua queixa estiver incompleta, não será aceite (artigo 47° do Regulamento do Tribunal). Tome nomeadamente nota ao conteúdo do artigo 47° parágrafo 2 a) do Regulamento:« Todas as informações referidas nas alíneas d) a f) do parágrafo 1 abaixo indicado [exposição dos factos, violações alegadas e informações relativas ao respeito das condições de admissibilidade] devem ser expostas na parte pertinente do formulário de queixa e serem suficientes para permitir ao Tribunal determinar, sem ter de consultar outros documentos, a natureza e o objeto da queixa. »

A. Requerente (particular) Esta secção apenas diz respeito aos requerentes individuais (pessoas singulares). Se o requerente é uma organização, passe para a secção B.

B. Requerente (pessoa colectiva) Esta secção só deve ser preenchida se o requerente for uma sociedade, uma ONG, uma associação ou uma entidade jurídica de outro tipo.

1. Apelido (s)

2. Nome (s)

3. Data de nascimento

4. Nacionalidade

5. Morada

6. Telefone (com indicativo do país)

7. Email (se existir)

8. Sexo

masculino

feminino

9. Nome

11. Data de registo ou de constituição (no caso de ter)

12. Atividade

13. Sede

14. Telefone (com indicativo do país)

15. Email

D D M M A A A A

ex. 27/09/2012 D D M M A A A A

ex. 27/09/2012

Número de referência Se já recebeu do Tribunal Europeu um número de referência para esta queixa, indique-o neste espaço.

10. Número de registo (se existir)

Etiqueta com código de barrasSe já recebeu do Tribunal Europeu dos Direitos do Homem um conjunto de etiquetas com código de barras, cole uma neste espaço.

European Court of Human Rights - Application form 2/11

C. Representante (s) do requerenteSe o requerente não é representado, passe para a secção D.

Advogado

Explique no espaço previsto em que qualidade representa o requerente ou indique a natureza da sua relação ou, no caso de ser uma organização, qual a função oficial que aí ocupa.

16. Título / relação / função

17. Apelido (s)

18. Nome (s)

19. Nacionalidade

20. Morada

21. Telefone (com indicativo do país)

22. Fax

23. Email

24. Apelido (s)

25. Nome (s)

26. Nacionalidade

27. Morada

28. Telefone (com indicativo do país)

29. Fax

30. Email

ProcuraçãoO requerente deve autorizar quem quer que o represente em seu nome, assinando a procuração em baixo (ver o documento Como preencher o formulário de queixa).

Autorizo pela presente a pessoa supra indicada para me representar perante o Tribunal Europeu dos Direitos do Homem no processo relacionado com a queixa introduzida nos termos do artigo 34° da Convenção.

31. Assinatura do requerente 32. Data

D D M M A A A A

ex. 27/09/2012

Representante que não seja advogado/Representante de uma organização

Preencha esta parte do formulário se representa o requerente como advogado.

Preencha esta parte do formulário se representa o requerente mas não é advogado.

Tribunal Europeu dos Direitos do Homem – Formulário de queixa 3/11

D. Estado(s) contra o(s) qual (quais) a queixa se dirige

33. Assinale a caixa de seleção correspondente ao(s) Estado(s) contra o(s) qual (quais) a queixa se dirige.

ALB - Albânia ITA - Itália

AND - Andorra LIE - Liechtenstein

ARM - Arménia

AUT - Áustria LUX - Luxemburgo

AZE - Azerbaijão LVA - Letónia

BEL - Bélgica MCO - Mónaco

BGR - Bulgária MDA - República da Moldávia

BIH - Bósnia-Herzegovina MKD - « Ex-República Jugoslava da Macedónia »

CHE - Suíça MLT - Malta

CYP - Chipre MNE - Montenegro

CZE - República Checa NLD - Países-Baixos

DEU - Alemanha NOR - Noruega

DNK - Dinamarca POL - Polónia

ESP - Espanha PRT - Portugal

EST - Estónia ROU - Roménia

FIN - Finlândia RUS - Federação Russa

FRA - França SMR - São Marino

GBR - Reino Unido SRB - Sérvia

GEO - Geórgia SVK - República Eslovaca

GRC - Grécia SVN - Eslovénia

HRV - Croácia SWE - Suécia

HUN - Hungria TUR - Turquia

IRL - Irlanda UKR - Ucrânia

ISL - Islândia

LTU - Lituânia

Tribunal Europeu dos Direitos do Homem – Formulário de queixa 4/11

Objeto da queixaTodas as informações relativas aos factos, às violações alegadas, ao respeito da regra do esgotamento das vias de recurso internas e do prazo de seis meses (artigo 35°, parágrafo 1 da Convenção) devem constar desta parte (seções E, F e G) do formulário de queixa (artigo 47°, parágrafo 2 a) do Regulamento do Tribunal). O requerente pode completar estas informações anexando ao formulário de queixa um documento que não exceda 20 páginas (artigo 47° parágrafo 2 b) do Regulamento). Este limite de páginas não inclui as decisões e documentos juntos ao formulário.

E. Exposição dos factos34.

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Tribunal Europeu dos Direitos do Homem – Formulário de queixa 5/11

Exposição dos factos (continuação)35.

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Tribunal Europeu dos Direitos do Homem – Formulário de queixa 6/11

Exposição dos factos (continuação)36.

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Tribunal Europeu dos Direitos do Homem – Formulário de queixa 7/11

F. Exposição da(s) alegada (s) violação(ões) da Convenção e/ou dos Protocolos assim como dos argumentos em que se baseia 37. Artigo invocado Explicação

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Tribunal Europeu dos Direitos do Homem – Formulário de queixa 8/11

G. Para cada uma das violações alegadas, por favor confirme que usou todos os meios eficazes disponíveis no país em questão, incluindo os recursos, e indique a data em que foi pronunciada e recebida a decisão interna definitiva, para comprovar que o prazo de seis meses foi respeitado.

38. Violação alegada Meios exercidos e data da decisão definitiva

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Tribunal Europeu dos Direitos do Homem – Formulário de queixa 9/11

39. Dispunha o/a requerente de um outro recurso que não tenha exercido ? Sim

Não

40. Em caso afirmativo, indique o recurso que não foi exercido e explique por que motivo não foi feito.

H. Informações relativas a outras instâncias internacionais que conheçam ou tiveram conhecimento deste caso (se for esse o caso)

41. O requerente submeteu alguma das alegadas violações a outra instância internacional? Sim

Não

42.

43. Sim

Não

44. Em caso afirmativo, por favor mencione o(s) número(s) da(s) referida(s) queixa(s).

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Em caso afirmativo, por favor resuma brevemente o procedimento (queixas apresentadas, nome da instância internacional, data e natureza das eventuais decisões pronunciadas).

O requerente já introduziu uma ou várias outras queixa(s) no Tribunal Europeu?

Tribunal Europeu dos Direitos do Homem – Formulário de queixa 10/11

I. Lista dos documentos anexosDeve juntar cópias integrais e legíveis de todos os documentos.Nenhum documento lhe será devolvido. É do seu interesse submeter ao Tribunal cópias e não originais. É IMPERATIVO :

- organizar os documentos por data e por processo; - numerar consecutivamente as páginas;- NÃO agrafar, ligar ou colar os documentos.

45. No quadro a seguir, indique, por ordem cronológica, os documentos juntos ao formulário com uma breve descrição.

1. _____________________________________________________________________________________________

2. _____________________________________________________________________________________________

3. _____________________________________________________________________________________________

4. _____________________________________________________________________________________________

5. _____________________________________________________________________________________________

6. _____________________________________________________________________________________________

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10. _____________________________________________________________________________________________

11. _____________________________________________________________________________________________

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20. _____________________________________________________________________________________________

21. _____________________________________________________________________________________________

22. _____________________________________________________________________________________________

23. _____________________________________________________________________________________________

24. _____________________________________________________________________________________________

25. _____________________________________________________________________________________________

Tribunal Europeu dos Direitos do Homem – Formulário de queixa 11/11

Outros comentáriosPretende fazer algum comentário adicional sobre a sua queixa?

46. Comentários

Declaração e assinaturaDeclaro por minha consciência e honra que todos os dados fornecidos neste formulário de queixa estão correctos.

47. Data

O(s) requerente(s) ou o seu/sua representante(s) devem assinar o formulário no quadrado abaixo.

48. Assinatura(s)

Designação do correspondenteNo caso de haver mais que um requerente ou mais que um representante, queira indicar o nome e morada da única pessoa com a qual o Tribunal comunicará.

49. Nome e morada do Requerente(s) Representante(s) – Assinale a caixa de selecção correspondente.

O formulário de queixa completo deve serassinado e enviado pelo correio para :

Monsieur le Greffier de la Cour européenne des droits de l’homme Conseil de l’Europe67075 STRASBOURG CEDEXFRANCE

D D M M A A A A

__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________

Requerente(s)

ex. 27/09/2012

Representante(s) – Assinale a caixa de selecção correspondente.

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