Form 127-Statement of Alleged or Suspected Breach of Human Rights

Form 127-Statement of Alleged or Suspected Breach of Human Rights

Form 127

O23 r9(1)

PAPUA NEW GUINEA

[IN THE NATIONAL COURT OF JUSTICE]

STATEMENT OF ALLEGED OR SUSPECTED\ BREACH OF HUMAN RIGHTS

1. Name of person making statement:

2. Address:

3. Phone numbers:

4. Your statement: Tell your story about what you saw or heard, and what happened. Give names of the people involved or describe them.

5. DECLARATION

I, . . . , declare this statement to be true and correct to the best of my knowledge and belief AND I hereby bring the information to the attention of the National Court.

Dated this . . . day of . . . 20

Signature

Please give this form to:

F a Clerk of the District Court

F the Assistant Registrar in your town; or

F a Judge of the National Court in your Province; or

F the Registrar of the National Court, PO Box 7018, Boroko, NCD.

Instructions to Court Clerks

When this form is handed to you, please forward it as quickly as possible to the Registrar of the National Court. Fax: 325 7732, PO Box 7018, Boroko, NCD.