காணமல் போனவர்களின் விபரங்கள்

காணமல் போனவர்களின் விபரங்கள்
ENFORCED OR INVOLUNTARY DISAPPEARANCE


CASES SUBMITTED BY ORGANIZATIONS:

Please note that if a case is being submitted to the Working Group by an organization, it is necessary for that organization to follow up on it by conveying Government information from the Working Group to the family and from the family to the Working Group until the fate or whereabouts of the person are determined. In this regard, please indicate whether the reported victim’s family has given its direct consent for your organization to submit this case to the Working Group on its behalf and whether your organization will be able to liaise between the family and the Working Group.

* Consent of victim’s family given directly to your organization to submit this case?

Yes, direct consent received from family ……………….

No consent from family ……………….. Yes …….. No……….

*If this case is being submitted by an organization, will the organization be able to follow up by conveying information between the family and the Working Group?


1. Identity of the disappeared person:

(a) Family name (*):...................................................................................................
(b) First name (*): .....................................................................................................
© Sex: male ……. / female ……
(d) Date of birth:......................................................................................................
(e) Identity document:.............................................. No: ..........................
Date of issue: .................................... Place of issue: …………………
(f) Address of usual residence:...............................................................................
.............................................................................................................................
(g) Pregnant: yes …… / no …….


2. Date on which the disappearance occurred (*):
Day: ............... Month(*): .............................. Year(*): ................. of disappearance

3. Place of arrest or abduction, or where the disappeared person was last seen (*):
Location (if possible, street, city, province or other relevant indications):
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

4. Forces (State or State-supported) believed to be responsible for the disappearance (*):

(a) If the perpetrators are believed to be State agents, please specify (military, police, persons in uniform or civilian clothes, agents of security services, unit to which they belong, rank and functions, etc.) and indicate why they are believed to be responsible. Be as precise as possible:

...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

(b) If identification as State agents is not possible, why do you believe that Government authorities, or persons linked to them, are responsible for the incident?

..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

© If there are witnesses to the incident, indicate their names. If they wish to remain anonymous, indicate if they are relatives, passers-by, etc. If there is evidence, please specify:

..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

5. Action taken by relatives or others to locate the person (enquiries with police, jail, human rights commission, habeas corpus petition, etc.) (*):

(a) Indicate if complaints have been filed, when, by whom and before which organ.

..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

(b) Other steps taken:

..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

© If action was not possible, please explain why:

..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................



6. Identity of the person or organization submitting the report (*):

(a) Family name: .....................................................................................
(b) First name:................…………...........................................................
© Relationship to the disappeared person: ............................................
(d) Organization (if applicable):................................................................
(e) Address (telephone, fax, e-mail): .............................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
(f) Please state whether you would like your identity to be kept confidential

Yes, keep my identity confidential: _____
No request for confidentiality: _______


Additional information on the case


Please indicate any other relevant information that has not been covered by the previous questions. If one of the mandatory elements noted (*) in this report could not be answered, please indicate why.

.....................................................................................................................................
.....................................................................................................................................

Date:.................................. Signature of author: ....................................................


விண்ணப்பம் அனுப்ப வேண்டிய விலாசம்


Working Group on Enforced or

Involuntary Disappearances
Office of the High Commissioner for Human Rights
Palais des Nations
1211 Geneva 10
Switzerland

E-mail: wgeid@ohchr.org
Fax: +41 22 917 9006,
Attn: Working Group on Enforced or Involuntary Disappearances