• Key points of the final decision of the authority, body or court addressed:.... .............................................................................................. .............................................................................................. • If domestic remedies have not been exhausted, please explain why:.... .............................................................................................. .............................................................................................. Note: Please enclose copies of all relevant documentation, including copies of legal or administrative decisions or domestic legislation related to the case or summaries of such decisions or legislation in one of the working languages of the secretariat (English, French, Spanish or Russian). VII. Other international procedures Has the same matter already been examined or is it being examined under another procedure of international investigation or settlement? Yes F No F If so, explain: • Type of procedure(s): .................................................................. • Body or bodies addressed: .......................................................... • Date(s): .................................................................................... • Place(s): ................................................................................... • Results (if any):........................................................................... .............................................................................................. .............................................................................................. Note: Please enclose copies of all relevant documentation. VIII. Specific requests/remedies Please detail the specific requests or remedies that are being submitted to the Committee for consideration: ............................................................. .................................................................................................... .................................................................................................... IX. Date, place and signature • Date of communication: ............................................................... • Place of signature of communication: ............................................. • Signature of author(s) and/or alleged victim(s): ................................ 35