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Monday, December 26, 2016

gulftoday #SyriaARMY #escalatesCampaign2capture #Damascus #BOMBING #Water Supply

http://www.addthis.com/bookmark.php?v=250&pub=xa-4b25ea19161ea99f @hadialbahra gulftoday #SyriaARMY #escalatesCampaign2capture #Damascus #BOMBING #waterSupply http://gulftoday.ae/portal/ef031467-4eb1-45ab-8ca7-666f32ba1d8b.aspx#.WGH2CMocM0c.twitter

Wednesday, November 16, 2016

Matthieu Ricard: How to let altruism be your guide

Individual #Victims May Request #ICC #Investigate #CrimesAgainstHumanity - Application FORM



*I can no longer find this form on the International Criminal Court's Website. I am not sure why, but I am happy that I saved a copy for you below:


Application Form
For Individuals
Request for Participation in Proceedings and Reparations at the ICC
(International Criminal Court)
For Individual Victims

 PART A
PERSONAL INFORMATION
 Has the victim already submitted an application for participation or for reparations to ICC?
Yes No
2. If yes and the victim has a registration number, please indicate it here:
/ /
3. Name(s) of the victim:
4. Sex:
5. Date of birth:
and / or Age
(day) (month) (year)
6. Place of birth:
(village/ town) (country)
Application Form
Request for Participation in Proceedings and Reparations at the ICC
For Individual Victims
Joint Participation/Reparation Form for Individuals
5. Where th e vic tim ’s date
of birth and age are
unknown, please give
approximate date or age
or provide any information
that will enable the age
to be identified.
Please give all names, as completely as possible
7. Number of dependants:
7. Indicate the number of
people such as children,
orphans or other family
members who are
dependant on the victim
for financial or other
support.
for Individuals
Part A. If any of the
information provided
here is different from
the information on your
identity documents,
please explain why next
to your answer.
Female Male
8. Tribe/ethnic group (optional):
9. Occupation (specify any work, duties): 9. Please indicate what
work the victim does, if
any, or whether the
victim is a student or
unemployed.
11. What proof of identity is the victim providing?
Please specify:
12. Where does the victim currently live?
Village/City/Town:
County/District/Province:
Country:
13. Is the victim applying on his/her own behalf?
Yes No
If yes, go to question 22.
11. It is a requirement that
the victim provide proof of
identity. This can include,
for example, national
identity card, birth
certificate, voting card,
passport, driver’s licence,
student or employee card,
letter from a local authority,
camp registration card,
card from a humanitarian
agency, tax document or
other document identifying
the victim.
13.Usually a victim will
apply for him/herself.
In some cases this is not
possible, for example
because the victim is a
child or is disabled,
deceased or disappeared.
In such cases, another
person may be permitted
to act on behalf of the
victim. The victim should
consent to have another
person act on his/her
behalf if the victim is able
to. If somebody is acting
on behalf of the victim,
Joint Participation/Reparation Form for Individuals, version 1, draft
page 2 of 7
then answer ‘no’ to
question 13 and complete
questions 14 to 21.
Joint Participation/Reparation Form for Individuals
10. What language(s) does the victim speak?
14. If no, what is the name of the person acting on behalf of the victim?
Please give all names, as completely as poss ible
15. Why is this person acting on behalf of the victim?
a. The victim is a child under 18 years of age
b. The victim is unable to act for him or herself because of disability
d. Any other reason?
16. What is the relationship between the victim and the person acting on behalf of the victim?
Proof of this relationship must be attached
16. Where answer a , b o r
d has been ticked in
q
be
uestion 15, proof must
provide d of t he
relationship between the
victim and the person
acting on behalf of the
victim. See note 11 for
c. The victim is an adult and gives his or her consent
Please specify as completely as possible
Please tick only one box
examples of documents
that might prove the
relationship. If c is ticked,
the victim must give
his/her consent by signing
at the end of this form.
17. Sex of the person acting on behalf of the victim:
Female Male
18. Date of birth of the person acting on behalf of the victim:
and/or Age
(day) (month) (year)
19. What language(s) does the person acting on behalf of the victim speak?
20. What proof of identity is the person acting on behalf of the victim providing?
Please specify: 20. See note to question 11.
Joint Participation/Reparation Form for Individuals, version 1, draft
page 3 of 7
Joint Participation/Reparation Form for Individuals
21. Did the person acting on behalf of the victim also suffer harm as a result of the crimes?
Yes No
If yes, the person acting on behalf may complete his or her own standard application form.
22. How can the victim or the person acting on behalf of the victim be contacted?
Contac t person / organisation:
Street: Number/Plot:
P.O. Box: Sector/Cell/Zone:
Village/City/Town/Camp:
Sub-county/Parish:
County/District/Province:
Postal Code: Country:
Email:
Please fill in as much information as possible
23. Is somebody assisting the victim to fill in this form?
Yes No
22. This could be the
victim’s own address or
the address of an
organisation, a family
member or other
individual, if the victim
prefers to be contacted
through someone else.
Telephone Number( s):
24. If yes, what is that person's name and organisation (if any)?
(name) (organisation)
25. Is an interpreter assisting with the filling in of this form? Yes No
PART B
INFORMATION ABOUT THE ALLEGED CRIME(S)
26. What happened to the victim? Describe the event(s) in as much detail as possible.
If more space is needed, please attach answers to this question on a separate s.heet of paper
Joint Participation/Reparation Form for Individuals
page 4 of 7
27. When did the event(s) occur ?
If possible, please specify day(s), month(s) and year(s), or where the exact dates are not known
please provide any information that will enable us to identify the dates
28. Where did the event(s) take place?
If necessary, attach a drawing or a map of the location
29. Who does the victim believe is responsible for the event(s )? If possible , explain why
28. Please be as specific
as possible, and also, if
possible, please refer to
the district/province
or the nearest town/city.
the victim believes this.
PART D
PARTICIPATION IN THE PROCEEDINGS
31. Does the victim want to present his/her views and concerns in ICC proceedings?
PART E
REPARATIONS
33. Would the victim like to apply for reparations?
i.e does the victim want something to be done for what he / she suffered?
Yes No
34. If yes, what would the victim want?
32. If yes, why does the victim want to participate in the proceedings?
Yes No
33/34. What is the victim
expecting if the accused
person is found guilty?
Reparations can be
anything which can
help the victim to repair
the harm suffered. This
can include compensation,
various forms of
assistance, receiving back
lost land or property,
and / or symboli c or
moral mea sures su ch as
apologies and monuments.
Please list any measures
which the victim
would like.
Joint Participation/Reparation Form for Individuals
page 5 of 7
31. Usually a victim
presents his/her views and
concerns through a lawyer
who represents the victim
in The Hague. In a small
number of cases there may
be an opportunity for a
victim to be involved in
person, but this is not a
requirement.
PART C
INFORMATION ABOUT THE INJURY, LOSS OR HARM SUFFERED
30. What effect did the events have on the life of the victim and others around him/her?
Describe physical or mental injury, emotional suffering, harm to reputation, economic loss and / or
damage to property or any other kind of harm
30. If the victim has
documents demonstrating
the harm he/she suffered,
copies of these can be
attached. This includes,
for example, medical
records or proof of
economic loss or damage
to property.
Email: Telephone number(s):
PART G
COMMUNICATION OF IDENTITY
40. Would the victim have any reason to be concerned about his or her security, well-being, dignity
or privacy or that of any other person if his or her identity were to be revealed to the
defence or the ICC Prosecutor?
If yes, what are the reasons?
Yes No
40. The victim may have
concerns not only about
physical danger but also
about harm to his or her
psychological well-being,
r eputation, privacy
and/or dignity or those of
his or her family.
The identity of the victim
will not be revealed to the
public while the
application is being
considered. If the
application is accepted,
the victim may be asked
again about disclosure of
information.
Joint Participation/Reparation Form for Individuals
Please note that the present application will be given to the defence (the accused person and
his/her lawyers) and to the ICC Prosecutor. When this happens, the Judges may decide not
to reveal the identity of the victim.
page 6 of 7
37. If yes, please provide the lawyer’s contact details:
Name:
Address:
PART F
LEGAL REPRESENTATION
36. Does the victim have a lawyer?
38. If the victim does not have a lawyer, would the victim like assistance from the ICC to
find a lawyer?
39. Until the victim has a lawyer, would he/she like to be represented by the
Court’s lawyers for victims (the Office of Public Counsel for Victims)?
Yes No
Yes No
Yes No
36. In order to represent
victims before the ICC,
a lawyer must be on the
ICC list of counsel.
Lawyers who are not on
the list may apply for
inclusion.
39. The OPC V is an
independent office
within the Court
which looks after the
l
and which represents
victims free of charge.
egal interests of victims
35. If rep arations are ordered, who does the victim want the benefit to go to?
The victim
The victim's family
The victim's community (please specify the community)
Other:
Tick more than one box, if necessary
SIGNATURE OF THE PERSON ACTING ON BEHALF OF THE VICTIM
I hereby declare that:
• To the best of my knowledge and belief, the information contained in this Application
Form is correct
Signature, thumbprint or other mark of th e person acting on behalf of the victim
Date: Location:
(day) (month) (year)
R EM IN D ER :
If the victim is acting on
his/her own behalf and
has answered “yes” to
question 13 then there is
no need to fill in this part.
Joint Participation/Reparation Form for Individuals
page 7 of 7
PART H
SIGNATURES
SIGNATURE OF THE VICTIM
I hereby declare that:
• To the best of my knowledge and belief, the information I have given in the present
Application Form is correct

Signature, thumbprint or other mark of the victim
Date: Location:
(day) (month) (year)
If I have named someone to act on my behalf in question 14 of this form, I hereby give my
consent to that person to act on my behalf
THE FOLLOWING DOCUMENTS SHOULD BE ATTACHED TO THIS APPLICATION FORM
For the victim:
Photocopy of proof of identity (REQUIRED)
Photocopy of medical records or similar documents
For the person acting on behalf of the victim (if applicable)
Photocopy of proof of identity (REQUIRED)
Photocopy of proof of relationship to victim (REQUIRED unless the victim is an adult
who has given consent)
NOTE:
This Application Form and the process
of applying are free of charge.
The ICC does not charge any free at
any stage of the application process.

Tuesday, November 15, 2016

Injustice in the U.S. Justice Department #ConflictOfInterest (since @CNN decided to remove my article!)

INJUSTICE in the Justice Department! - Martin Feldman


Thank you for helping put Justice back in the Justice Department!
Federal Judge Martin Feldman has SERIOUS conflict of interest!
The federal judge who overturned the Obama administration's initial six-month moratorium on deepwater oil drilling has refused to disqualify himself from the case, when he has made personal investments in off shore drilling including BP. Judge Martin Feldman must not be allowed to rule on a case that interferes with his personal investments in Off Shore Drilling, Oil and Gas. He is not above the law. As a juror I have been told that I cannot participate in a case when I have a conflict of interest or bias that relates to the case. Feldman's excuse was that he forgot he owned stock in off shore drilling when he took the case, but he still refuses to withdraw himself from the case.
Martin Feldman conflict of interest is a Federal Violoation of Judicial Code of Conduct. As a judge defending his investments is in violation with federal law. We need a federal judge that does not have personal investments in off shore drilling. In addition to the violation, he has now refused to withdraw from the case, demonstrating his conflict of interest which is a Federal Crime.
(Check out ALL his OIL INVESTMENTS at the bottom of this post.)
We the People find Martin Feldman in violation of the Code of Conduct serving on a case with Conflict of Interest and must be disqualified as an officer making decisions that affect his personal investments. We need a judge that does not have investments in Off Shore Drilling, Oil or Gas to rule on such matters. According to Rules of the Judiciary Commission Section 27, Feldman has committed a violation of the Code of Judicial Conduct, implying that he forgot about his personal investments in oil drilling. However, even after remembering, he still refuses to withdraw from the case, defending his personal investments. This is a direct violation of Article V, 25 (c)of the Constitution which is a substantial threat of serious harm to the public and to the administration of justice, by ignoring the Code of Conduct. We recommend to the Court that judge Martin Feldman be immediately disqualified from exercising any judicial function, that involve his personal investments, which is a serious crime. Many allegations of misconduct have been recorded and documented, and this motion requests an investigation of Martin Feldman's books, records, documents, and other evidence that may be heard before the courts, and replaced with a judge that does not own investments in oil. As a juror many times I have been made fully aware of what constitutes bias, unfairness, injustice, impartiality, and conflict of interest. A prompt hearing date is in order according to review material facts with respect to these sanctions. And according to RULE XII., RECUSAL OR DISQUALIFICATION, A commission member shall recuse himself in any matter in which recusal would be required by a judge under the Code of Judicial Conduct or where his impartiality might reasonably be questioned.  Federal Judge Martin Feldman is in Violation of Judicial Code of Conduct, and must be disqualified to judge in any case that involves Off Shore Drilling, Oil or Gas, as any other citizen of the United States.

Federal Laws Currently in Violation Below:
According to the CODE OF JUDICIAL CONDUCT, CANON 3 A Judge Shall Perform the Duties of Office Impartially and Diligently In the performance of these duties, the following standards apply: (4) A judge shall perform judicial duties without bias or prejudice. A judge shall not, in the performance of judicial duties, by words or conduct manifest bias or prejudice, and shall not permit others subject to the judge's direction and control to do so. CANON 5 Extra-Judicial Activities/ A Judge Shall Regulate Extra-Judicial Activities to Minimize the Risk of Conflict With Judicial Duties C. Financial Activities. (1) A judge shall refrain from financial and business dealings that tend to reflect adversely on the judge's impartiality, interfere with the proper performance of judicial duties, exploit the judge's judicial position, or involve the judge in frequent transactions with lawyers or persons likely to come before the court on which he or she serves. (2) Subject to the requirement of subsection (1), a judge may hold and manage investments, including real estate, and engage in other remunerative activity but shall not serve as an officer, director, manager, or employee of any bank, lending institution, homestead or savings and loan association, insurance company, public utility, and other businesses affected with a public interest. (3) A judge should manage investments and other financial interests to minimize the number of cases in which he is disqualified. As soon as a judge can do so without serious financial detriment, he or she shall divest himself or herself of investments and other financial interests that might require frequent recusation.  RULE III. FORM OF COMPLAINTS. Complaints made to the Commission concerning the misconduct or disability of a judge should be in writing and should specify the misconduct or disability complained of, and should be signed by the complainant[s]. The Commission, however, may consider alleged misconduct or disability of any judge from whatever source, including anonymous complaints and news reports, and may do so on its own motion. RULE IV. RECEIPT OF COMPLAINTS; SCREENED OUT COMPLAINTS.All complaints should be directed to the Chief Executive Officer of the Commission, who is the Judicial Administrator of the State of Louisiana, at 400 Royal Street, Suite 1190, New Orleans, Louisiana 70130-8101 or to Special Counsel, who is the legal counsel whose duties are described in JCL Rule XI B. Any member of the Commission, however, may receive a complaint or bring any matter to the attention of the Commission on his or her own motion.The Judicial Administrator may (1) direct such complaints to Special Counsel, for further screening and preliminary investigation, or (2) in his discretion, bring such complaints directly to the attention of the Chair for other action, as the circumstances may require. Special Counsel shall maintain a docket of all complaints and shall provide (a) to the Commission, upon the completion of each reporting stage of the proceedings, a full written report as to pending open files; and (b) a full written and/or other report upon the specific request of the Chair and/or the Chief Executive Officer of the Commission. Rule XXIII, Sec. 3 of the Rules of the Louisiana Supreme Court requires the Commission to commence a preliminary investigation of complaints that are %u2026allege facts that, if true, constitute judicial conduct in violation of the Code of Judicial Conduct or of 1974 La. Const. art. V, Sec. 25C. %u2026If a file has been screened out and the Commission has not reversed the screen out decision, and a complainant objects, he or she may lodge a written appeal of the screen out decision, which shall be directed to the Chief Executive Officer or to the Special Counsel to the Commission. The request for appeal must state the basis for his or her disagreement with the screen out decision, and may provide further information to the Commission concerning the facts underlying the original complaint. The Commission will review the original complaint and the written request for appeal at a subsequent regularly scheduled meeting of the Commission, and the decision made by the Commission concerning the appeal shall be final. RULE VI. CONDUCT OF INVESTIGATIONS.With respect to a preliminary investigation for the purpose of determining whether a hearing should be held on any complaint, the Commission may cause such investigation to be made in any manner it deems proper. It may be made by the Chief Executive Officer, the Judicial Administrator, by Special Counsel, or by any other person designated by the Commission who is not a member of the Commission, such as a Special Counsel Ad Hoc. Section 27. Intermrim Disqualification (1) indentifies this conflict of interest and refusal to withdraw from the case a felony, (2) it also reflects on the judge's honesty and trustworthiness as judge. This petition will be filed with the Judiciary Commission, and shall become public record, unless otherwise ordered by the Court.
                              Complaints made to the Commission concerning the misconduct or disability of a judge should be in writing, or reduced to writing, and should specify the misconduct or disability complained of, and should be signed by the complainant.The Commission, however, may consider alleged misconduct or disability of any judge from whatever source, including anonymous complaints and news reports, and may do so on its own motion. All complaints should be directed to the Chief Executive Officer of the Commission, who is the Judicial Administrator of the State of Louisiana, at 400 Royal Street, Suite 1190, New Orleans, Louisiana or to Special Counsel, who is the legal counsel whose duties are described in JCL Rule XI B. Any member of the Commission, however, may receive a complaint or bring any matter to the attention of the Commission on his or her own motion. The Judicial Administrator may (1) direct such complaints to Special Counsel, for further screening and preliminary investigation, or (2) in his discretion, bring such complaints directly to the attention of the Chair for other action, as the circumstances may require. Special Counsel shall maintain a docket of all complaints and shall provide (a) to the Commission, upon the completion of each reporting stage of the proceedings, a full written report as to pending open files; and (b) a full written and/or other report upon the specific request of the Chair and/or the Chief Executive Officer of the Commission. Rule XXIII, Sec. 3 of the Rules of the Louisiana Supreme Court requires the Commission to commence a preliminary investigation of complaints that are not obviously unfounded or frivolous and that allege facts that, if true, constitute judicial conduct in violation of the Code of Judicial Conduct or of 1974 La. Const. art. V, Sec. 25C. D. The failure or refusal of a judge to cooperate in an investigation, or the use of dilatory practices, frivolous or unfounded responses or arguments, or other uncooperative behavior may be considered by the Commission in determining whether or not to recommend a sanction to the Louisiana Supreme Court and may bear on the severity of the sanction actually recommended. E. The Chair, in his or her discretion, may name one commission member to serve as case manager once formal charges have been filed against a judge. The case manager's purpose it to facilitate movement of the case through the system and to address procedural problems and issues. The case manager shall not discuss the merits of the case with the Special Counsel or legal counsel for the judge or with the judge himself or herself. When a judge whose conduct has been criticized as violative of the Code of Judicial Conduct expresses interest in entering into a deferred recommendation of discipline agreement with the Commission, Commission Counsel or Special Counsel, depending upon who received the information, shall immediately report such request to the case manager assigned to the case. The case manager shall communicate the judges request to the other Commission members at the next scheduled meeting of the Commission, with a recommendation to the other members concerning the request. Rule VIII. CONDUCT OF HEARINGS, ADMISSIBILITY OF EVIDENCE; NO RECORDING OF PROCEEDINGS. B (2) All proposed exhibits of both Special Counsel and the judge whose conduct is the subject of the proceedings shall be numbered and marked, with a list of the exhibits attached. All exhibits shall be introduced into evidence en globo at the commencement of the hearing, except in the case of objections to admissibility. The Chair may either rule on any objection to the admissibility of one or more exhibits or defer the ruling until a later specific time in the proceedings. Any exhibit sought to be introduced that contains information that is privileged and confidential by law, such as case records from juvenile courts that are subject to statutory confidentiality rules, shall only be admitted if the confidential portions of the exhibits are marked out or otherwise excerpted from the exhibit. When an audio or video tape constitutes an exhibit, except in exigent circumstances (decided in the discretion of the Chair), such tape must be introduced along with a transcription thereof made by a certified court reporter.                               RULE XVII. ENFORCEMENT OF FINANCIAL DISCLOSURE RULES A. This rule shall apply to proceedings related to the financial statements required to be filed by La. Sup. Ct. Rule XXXIX (Financial Disclosure) or by La. Sup. Ct. Rule XL (Financial Disclosure by Non-Incumbent Candidates for Elective Judicial Office). B. Whenever a matter pertaining to financial disclosure is referred to the Commission by the judicial administrator%u2019s office pursuant to the provisions of Sec. 4 (C)(1) or 4(C)(2) of La. Sup. Ct. Rule XXXIX, and the Commission finds that a person may have failed to file a financial statement or may have failed to disclose or disclose accurately the required information, the Commission shall direct the Office of Special Counsel to prepare and process a formal charge, and a hearing on the formal charge shall be held before a hearing officer.C. Whenever the Commission receives a written complaint from a source other than the judicial administrator that is directed to the accuracy or completeness of a financial statement that has been filed pursuant to La. S.Ct. Rule XXXIX, and the Commission has determined that the complaint is not frivolous, the Commission shall mail the complaint by certified mail to the judge or justice of the peace who is the subject of the complaint. The judge or justice of the peace shall be asked to answer the complaint within fourteen business days after the complaint is received. A five-day extension may be granted for good cause. If the Commission finds in connection with a written answer that no violation of the financial disclosure requirements has occurred, no penalties shall be assessed against the person. If the Commission finds that the person may have failed to file a financial statement or may have failed to disclose or accurately disclose the required information, the Commission shall direct the Office of Special Counsel to prepare and process a formal charge and a hearing on the formal charge shall be held before a hearing officer. D. A hearing on a formal charge shall be conducted before a hearing officer designated pursuant to La. Sup. Ct. Rule XXIII, Sec. 29(a). The hearing officer shall be selected for the hearing in accordance with La. Sup. Ct. Rule XXIII, Sec. 29(b), and the hearing shall be convened and conducted in accordance with La. Sup. Ct. Rule XXIII, Sec. 29. E. The hearing will be limited to the following issues: (1) whether or not the person failed to file a financial statement; (2) whether or not the person failed to disclose or accurately disclose the required information; and/or (iii) whether the failure was willful and knowing.





Read more: http://www.prwatch.org/Judge%20Feldman%20Dollars%20and%20Sense (Article below is a clip from the website above, Submitted by Lisa Graves on June 24, 2010 - 2:50pm)




Income
Judicial salary (excluding benefits and retirement): $169,300
Earnings from investments: up to $174,000
Due to the way the disclosure form obscures actual amounts, the range of his investment income adds up to between $37,524, if he received the bare minimum at each disclosure threshold, and $174,000, if he received the maximum. The investment earnings constituted between about 20% of his federal salary and over 100% of it.


Oil exploration-related investment income in 2008
* Transocean, earned up to $1000 on an investment of up to $15,000; Transocean describes itself as "the world's largest off-shore drilling" and owned the Deepwater Horizon drilling rig leased to BP that is at the heart of the disaster in the Gulf. Judge Feldman's investment in Transocean dates back to 2004, according to his older financial disclosure forms.


* ATP Oil & Gas, earned up to $1,000 on a new investment of up to $15,000; ATP describes itself as an innovator in deepwater drilling in the Gulf of Mexico.


* Ocean Energy Notes, earned between $1,000 and $2,500 on an investment of up to $50,000; this company describes itself as developing "submersible drilling rigs" and working on drilling platforms (what it terms "Floating Production, Storage and Offloading" (FPSO) vessels).


* Hercules Offshore, earned a dividend of between $5,001 and $15,000 on the sale of up to $15,000 in stock and also purchased up to $15,000 in company stock, earning up to a $2,500 dividend; Hercules describes itself as having the largest fleet of jack-up or mobile rigs in the Gulf of Mexico. Judge Feldman had multiple transactions involving Hercules, which he began investing in 2008.


* Halliburton Co., earned a gain of up to $1,000 on the sale of up to $15,000 in stock; Halliburton describes itself as an expert in deepwater drilling and as one of the world's largest energy companies.


* KBR Inc., earned up to $1,000 on a new investment of up to $15,000; KBR describes itself as a leader in oil refining.


* Parker Drilling Company, earned a dividend of up to $1000 on a new investment of up to $15,000; Parker describes itself as specializing in off-shore drilling in the Gulf of Mexico and elsewhere.

Thursday, September 1, 2016

Form for Individual #Victims to Request #ICC #Investigate #CrimesAgainstHumanity

 Request for Participation in Proceedings and Reparations at the ICC
For Individual Victims



PART A
PERSONAL INFORMATION
1. Has the victim already submitted an application for participation or for reparations to the ICC? 
Yes No
2. If yes and the victim has a registration number, please indicate it here:
/ /
3. Name(s) of the victim:
4. Sex:
5. Date of birth:
and / or Age
(day) (month) (year)
6. Place of birth:
(village/ town) (country)
Application Form
Request for Participation in Proceedings and Reparations at the ICC
For Individual Victims
Joint Participation/Reparation Form for Individuals
5. Where th e vic tim ’s date
of birth and age are
unknown, please give
approximate date or age
or provide any information
that will enable the age
to be identified.
Please give all names, as completely as possible
7. Number of dependants:
7. Indicate the number of
people such as children,
orphans or other family
members who are
dependant on the victim
for financial or other
support.
for Individuals
Part A. If any of the
information provided
here is different from
the information on your
identity documents,
please explain why next
to your answer.
Female Male
8. Tribe/ethnic group (optional):
9. Occupation (specify any work, duties): 9. Please indicate what
work the victim does, if
any, or whether the
victim is a student or
unemployed.
11. What proof of identity is the victim providing?
Please specify:
12. Where does the victim currently live?
Village/City/Town:
County/District/Province:
Country:
13. Is the victim applying on his/her own behalf?
Yes No
If yes, go to question 22.
11. It is a requirement that
the victim provide proof of
identity. This can include,
for example, national
identity card, birth
certificate, voting card,
passport, driver’s licence,
student or employee card,
letter from a local authority,
camp registration card,
card from a humanitarian
agency, tax document or
other document identifying
the victim.
13.Usually a victim will
apply for him/herself.
In some cases this is not
possible, for example
because the victim is a
child or is disabled,
deceased or disappeared.
In such cases, another
person may be permitted
to act on behalf of the
victim. The victim should
consent to have another
person act on his/her
behalf if the victim is able
to. If somebody is acting
on behalf of the victim,
Joint Participation/Reparation Form for Individuals, version 1, draft
page 2 of 7
then answer ‘no’ to
question 13 and complete
questions 14 to 21.
Joint Participation/Reparation Form for Individuals
10. What language(s) does the victim speak?
14. If no, what is the name of the person acting on behalf of the victim?
Please give all names, as completely as poss ible
15. Why is this person acting on behalf of the victim?
a. The victim is a child under 18 years of age
b. The victim is unable to act for him or herself because of disability
d. Any other reason?
16. What is the relationship between the victim and the person acting on behalf of the victim?
Proof of this relationship must be attached
16. Where answer a , b o r
d has been ticked in
q
be
uestion 15, proof must
provide d of t he
relationship between the
victim and the person
acting on behalf of the
victim. See note 11 for
c. The victim is an adult and gives his or her consent
Please specify as completely as possible
Please tick only one box
examples of documents
that might prove the
relationship. If c is ticked,
the victim must give
his/her consent by signing
at the end of this form.
17. Sex of the person acting on behalf of the victim:
Female Male
18. Date of birth of the person acting on behalf of the victim:
and/or Age
(day) (month) (year)
19. What language(s) does the person acting on behalf of the victim speak?
20. What proof of identity is the person acting on behalf of the victim providing?
Please specify: 20. See note to question 11.
Joint Participation/Reparation Form for Individuals, version 1, draft
page 3 of 7
Joint Participation/Reparation Form for Individuals
21. Did the person acting on behalf of the victim also suffer harm as a result of the crimes?
Yes No
If yes, the person acting on behalf may complete his or her own standard application form.
22. How can the victim or the person acting on behalf of the victim be contacted?
Contac t person / organisation:
Street: Number/Plot:
P.O. Box: Sector/Cell/Zone:
Village/City/Town/Camp:
Sub-county/Parish:
County/District/Province:
Postal Code: Country:
Email:
Please fill in as much information as possible
23. Is somebody assisting the victim to fill in this form?
Yes No
22. This could be the
victim’s own address or
the address of an
organisation, a family
member or other
individual, if the victim
prefers to be contacted
through someone else.
Telephone Number( s):
24. If yes, what is that person's name and organisation (if any)?
(name) (organisation)
25. Is an interpreter assisting with the filling in of this form? Yes No
PART B
INFORMATION ABOUT THE ALLEGED CRIME(S)
26. What happened to the victim? Describe the event(s) in as much detail as possible.
If more space is needed, please attach answers to this question on a separate s.heet of paper
Joint Participation/Reparation Form for Individuals
page 4 of 7
27. When did the event(s) occur ?
If possible, please specify day(s), month(s) and year(s), or where the exact dates are not known
please provide any information that will enable us to identify the dates
28. Where did the event(s) take place?
If necessary, attach a drawing or a map of the location
29. Who does the victim believe is responsible for the event(s )? If possible , explain why
28. Please be as specific
as possible, and also, if
possible, please refer to
the district/province
or the nearest town/city.
the victim believes this.
PART D
PARTICIPATION IN THE PROCEEDINGS
31. Does the victim want to present his/her views and concerns in ICC proceedings?
PART E
REPARATIONS
33. Would the victim like to apply for reparations?
i.e does the victim want something to be done for what he / she suffered?
Yes No
34. If yes, what would the victim want?
32. If yes, why does the victim want to participate in the proceedings?
Yes No
33/34. What is the victim
expecting if the accused
person is found guilty?
Reparations can be
anything which can
help the victim to repair
the harm suffered. This
can include compensation,
various forms of
assistance, receiving back
lost land or property,
and / or symboli c or
moral mea sures su ch as
apologies and monuments.
Please list any measures
which the victim
would like.
Joint Participation/Reparation Form for Individuals
page 5 of 7
31. Usually a victim
presents his/her views and
concerns through a lawyer
who represents the victim
in The Hague. In a small
number of cases there may
be an opportunity for a
victim to be involved in
person, but this is not a
requirement.
PART C
INFORMATION ABOUT THE INJURY, LOSS OR HARM SUFFERED
30. What effect did the events have on the life of the victim and others around him/her?
Describe physical or mental injury, emotional suffering, harm to reputation, economic loss and / or
damage to property or any other kind of harm
30. If the victim has
documents demonstrating
the harm he/she suffered,
copies of these can be
attached. This includes,
for example, medical
records or proof of
economic loss or damage
to property.
Email: Telephone number(s):
PART G
COMMUNICATION OF IDENTITY
40. Would the victim have any reason to be concerned about his or her security, well-being, dignity
or privacy or that of any other person if his or her identity were to be revealed to the
defence or the ICC Prosecutor?
If yes, what are the reasons?
Yes No
40. The victim may have
concerns not only about
physical danger but also
about harm to his or her
psychological well-being,
r eputation, privacy
and/or dignity or those of
his or her family.
The identity of the victim
will not be revealed to the
public while the
application is being
considered. If the
application is accepted,
the victim may be asked
again about disclosure of
information.
Joint Participation/Reparation Form for Individuals
Please note that the present application will be given to the defence (the accused person and
his/her lawyers) and to the ICC Prosecutor. When this happens, the Judges may decide not
to reveal the identity of the victim.
page 6 of 7
37. If yes, please provide the lawyer’s contact details:
Name:
Address:
PART F
LEGAL REPRESENTATION
36. Does the victim have a lawyer?
38. If the victim does not have a lawyer, would the victim like assistance from the ICC to
find a lawyer?
39. Until the victim has a lawyer, would he/she like to be represented by the
Court’s lawyers for victims (the Office of Public Counsel for Victims)?
Yes No
Yes No
Yes No
36. In order to represent
victims before the ICC,
a lawyer must be on the
ICC list of counsel.
Lawyers who are not on
the list may apply for
inclusion.
39. The OPC V is an
independent office
within the Court
which looks after the
l
and which represents
victims free of charge.
egal interests of victims
35. If rep arations are ordered, who does the victim want the benefit to go to?
The victim
The victim's family
The victim's community (please specify the community)
Other:
Tick more than one box, if necessary
SIGNATURE OF THE PERSON ACTING ON BEHALF OF THE VICTIM
I hereby declare that:
• To the best of my knowledge and belief, the information contained in this Application
Form is correct
Signature, thumbprint or other mark of th e person acting on behalf of the victim
Date: Location:
(day) (month) (year)
R EM IN D ER :
If the victim is acting on
his/her own behalf and
has answered “yes” to
question 13 then there is
no need to fill in this part.
Joint Participation/Reparation Form for Individuals
page 7 of 7
PART H
SIGNATURES
SIGNATURE OF THE VICTIM
I hereby declare that:
• To the best of my knowledge and belief, the information I have given in the present
Application Form is correct
Signature, thumbprint or other mark of the victim
Date: Location:
(day) (month) (year)
If I have named someone to act on my behalf in question 14 of this form, I hereby give my
consent to that person to act on my behalf
THE FOLLOWING DOCUMENTS SHOULD BE ATTACHED TO THIS APPLICATION FORM
For the victim:
Photocopy of proof of identity (REQUIRED)
Photocopy of medical records or similar documents
For the person acting on behalf of the victim (if applicable)
Photocopy of proof of identity (REQUIRED)
Photocopy of proof of relationship to victim (REQUIRED unless the victim is an adult
who has given consent)
NOTE:
This Application Form and the process
of applying are free of charge.
The ICC does not charge any free at
any stage of the application process.


Sent from my iPhone

Saturday, July 16, 2016

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