2. Who carried out the ill-treatment/torture? (police, prison officials, inmates or other) _____________________________________________________________________ 3. Has anyone been informed about the ill-treatment? If so, how long after the event? _____________________________________________________________________ 4. Was there an official response? If so, when? _________________________________ _____________________________________________________________________ _____________________________________________________________________ 5. Description of ill-treatment: ______________________________________________ _____________________________________________________________________ _____________________________________________________________________ 6. What injuries were sustained as a result of the ill-treatment? ____________________ _____________________________________________________________________ _____________________________________________________________________ 7. What was believed to be the cause of the ill-treatment?_________________________ _____________________________________________________________________ _____________________________________________________________________ 8. Was there and examination by a doctor? If not, why not? _______________________ _____________________________________________________________________ 9. If so, when? Was the examination performed by a prison or outside of prison doctor? _____________________________________________________________________ _____________________________________________________________________ 10. Was appropriate treatment received for injuries sustained as a result of the illtreatment? If not, why not? _______________________________________________ _____________________________________________________________________ 11. Was the medical examination performed in a manner which would enable the doctor to detect evidence of injuries sustained as a result of the ill-treatment? 33