II. State concerned/articles violated Name of the State that is either a party to the Optional Protocol (for complaints to the Human Rights Committee) or has made the relevant declaration (for complaints to the Committee against Torture or the Committee on the Elimination of Racial Discrimination): ................................................... Articles of the Covenant or Convention alleged to have been violated: ...... .................................................................................................... III. Exhaustion of domestic remedies/application to other international procedures Steps taken by or on behalf of the alleged victims to obtain redress within the State concerned for the alleged violation. Detail which procedures have been pursued, including recourse to the courts and other public authorities, which claims you have made, when and with which outcomes: ............... .................................................................................................... .................................................................................................... .................................................................................................... If you have not exhausted these remedies because their application would be unduly prolonged, they would not be effective, they are not available to you or for any other reason, please explain your reasons in detail: ........... .................................................................................................... .................................................................................................... .................................................................................................... Have you submitted the same matter for examination under another procedure of international investigation or settlement (e.g., the Inter-American Commission on Human Rights, the European Court of Human Rights or the African Commission on Human and Peoples’ Rights)? Yes F No F If so, detail which procedure(s) have been, or are being, pursued, which claims you have made, when and with which outcomes: ........................ .................................................................................................... .................................................................................................... 26

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