Poročilo Varuha človekovih pravic Republike Slovenije o izvajanju nalog državnega preventivnega mehanizma za leto 2011 Obrazec 2: Sklep o povračilu stroškov in nagrad (formular) Form 2: Decision on reimbursement of costs and rewards (form) Za sodelovanje __________________________________________________________pri For the cooperation of_____________________________________________________ in določilu 11. člena Pravilnika o povračilu stroškov in o nagradah osebam iz organizacij, provisions of Article 11 of the Rules on the reimbursement of costs and rewards to persons Konvenciji proti mučenju in drugim krutim, nečloveškim ali poniževalnim kaznim ali ravnanju Optional Protocol to the Convention against Torture and Other Cruel, Inhuman or Degrading opravljanju nadzora, v__________________________, dne_ ______________________po ki opravljajo naloge oziroma izvršujejo pooblastila po določbah Opcijskega protokola h (MOPPM) odmerim carrying out monitoring at ______________________, on ___________________ under the from organisations that perform tasks or exercise authorities under the provisions of the Treatment or Punishment (MOPPM) I hereby calculate: simbolični prejemek EUR symbolic payment EUR potni stroški EUR travelling expenses EUR kilometrina EUR kilometer rate EUR stroški za prehrano in prenočišče EUR costs for food and accommodation EUR nadomestilo plače EUR compensation of pay EUR nadomestilo izgubljenega zaslužka, oz. pavšalno nadomestilo EUR compensation for lost earnings or lump compensation EUR plačilo za izdelavo poročila o opravljenem nadzoru EUR payment for producing report on monitoring performed EUR skupaj EUR total EUR in odredim plačilo davkov in drugih javnih dajatev. and order payment of taxes and other public levies. Hkrati odredim izplačilo na ustrezne transakcijske račune in transakcijski račun prejemnika, At the same time, I order payment to the relevant transaction account and the transaction Opcijski protokol, podkonto sredstva namenjena za delo nevladnih in humanitarnih Ombudsman RS – sub-programme Optional Protocol, sub-account of funds earmarked for vse v breme proračunskega uporabnika 1214 Varuh človekovih pravic RS – podprogram organizacij _______________________________________________________________, V_ _________________________________, dne_ ________________________________ podpis __________________________________ Zneski, od katerih se plačujejo davki in druge javne dajatve, se odmerjajo »brutto« 138 Implementation of the Duties and Powers of the National Preventive Mechanism in 2011 Državni preventivni mehanizem v Republiki Sloveniji po Opcijskem protokolu h Konvenciji OZN proti mučenju in drugim krutim, nečloveškim ali poniževalnim kaznim ali ravnanju account of the recipient, all to be paid from the budget of user 1214 Human Rights the work of non-governmental and humanitarian organisations ______________________ _________________________________________ ________________________________, in__________________________________, date_________________________________ Signature ________________________________ Amounts on which taxes and other public levies are paid shall be calculated “gross” National Preventive Mechanism in the Republic of Slovenia under the Optional Protocol to the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment 139

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