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Accountability
Commission Zimbabwe - Report Sheet
March
31, 2003
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form
I. Identity
of the victim(s)
A. Family Name
B. First and
other names
C. Sex: Male
Female
D. Birth date
or age
E. Nationality
F. Occupation
G. Identity
number (if applicable)
H. Activities
(trade union, political, religious, humanitarian/ solidarity, press,
etc.)
I. Residential
and/or work address
II. Identity
of person(s) carrying out detention and/or assault
A. Names of individual(s)
(if known, with as many details as possible including nicknames)
B. Home, business
or unit address of individual(s)
C. Identity
number(s)
D. Description
and registration of vehicles owned by individual(s)
E. Any other
information that will help us identify and track the individual(s)
involved in carrying out detention and/or assault (e.g. family or
business connections)
F. Employment
details or identity of forces or groups to which individual(s) belong
(police, CIO, armed forces, militia, prison officials, other)
III. Circumstances
surrounding detention and/or assault
A. Date and place
of arrest and/or assault
B. Identity
of force(s) carrying out the initial detention and/or assault (police,
CIO, armed forces, militia, prison officials, other)
C. Description
and registration details of any vehicles used
D. Were any
person, such as a lawyer, relatives or friends, permitted to see
the victim during detention? If so, how long after the arrest?
E. Describe
any methods of torture or physical violence used
F. What injuries
were sustained as a result of the assault?
G. What was
believed to be the purpose of the assault?
H. Was the victim
examined by a doctor at any point during or after his/her ordeal?
If so, when? Was the examination performed by a prison or government
doctor?
I. Was appropriate
treatment received for injuries sustained as a result of the incident?
J. Was the medical
examination performed in a manner that would enable the doctor to
detect evidence of injuries sustained as a result of the incident?
Were any medical reports or certificates issued? If so, what did
the reports reveal?
K. If the victim
died, was an autopsy or forensic examination performed and what
were the results?
IV. Remedial
action
Were any domestic
remedies pursued by the victim or his/her family or representatives
(complaints with the forces responsible, the judiciary, political
organs, etc.)? If so, what was the result?
V. Information
concerning the author of this report
A. Family Name
B. First Name
C. Relationship
to victim
D. Organization
represented, if any
E. Present full
address
- You can return
our form or write in your own words to the addresses given below
or you can telephone us
- The names
of everyone who gives us information will be kept confidential
- If you do
not want to give us your name the information you give us may
still be useful
- Please print
this document and distribute it to as many people as you can
Contact details
Address:
|
Either
The Accountability
Commission
2nd Floor, Berkeley Square House
Berkeley Square
London W1J 6BD
UNITED KINGDOM
|
Or
The Director
PrivateBag
X67
Braamfontein
2017
SOUTH
AFRICA |
Email: info@theaccountabilitycommission.com
Website:
www.theaccountabilitycommission.com
Telephone
: +44 (0)20 7396 5575
Local
cell: 091-364 392
Fax : +44 (0)20 7396 5599
Visit
the Accountability Commission Zimbabwe fact
sheet
Please credit www.kubatana.net if you make use of material from this website.
This work is licensed under a Creative Commons License unless stated otherwise.
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