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Application Form for Admission of Counsel to the Rule 45 list United Nations Nations Unies The applicant is kindly requested to complete and return this form to the ICTY Registry, Office for Legal Aid and Detention Matters at the below given address Name of applicant: International Criminal Tribunal for the former Yugoslavia Date and Place of Birth: Tel.: Address: Tribunal Pénal International pour l’ex-Yougoslavie Fax: E-mail: Other: Relevant experience: Please provide a brief summary of your activities and the number of years of experience in: Criminal Law International Humanitarian Law Human Rights Other Do you possess seven or more years of experience as a judge, prosecutor, attorney or in some other capacity in criminal proceedings? Yes(Please give details) No Have you ever worked on a case before the ICTY or ICTR? Yes(Please give details) No Have you been admitted to the list of counsel eligible to represent suspects and accused before the ICTY, ICTR, ICC or another International Court? Yes(Please give details) No Office for Legal Aid and Detention Matters, Registry, ICTY Churchillplein 1, 2517 JW The Hague. P.O. Box 13888, 2501 EW The Hague. Netherlands Churchillplein 1, 2517 JW La Haye. B.P. 13888, 2501 La Haye. Pays-Bas Tel.: +31 (0)70 512 5416 Fax: +31 (0)70 512 8637 Application Form for Admission of Counsel to the Rule 45 list Are you versed in: The Common Law system? No, Yes, The Civil Law system? Theory only No, Please give details: Yes, Theory only Please give details: Languages: English: French: Mother tongue Proficient Mother tongue Good knowledge Working knowledge Proficient I need an interpreter I need an interpreter Have you used French as a working language before? Have you used English as a working language before? No, Yes Bosnian/Croatian/Serbian/Macedonian/Albanian: Mother tongue Proficient Yes Other: Specify: (circle as applicable) Mother tongue Good knowledge Working knowledge Proficient Oral Written Oral Written I need an interpreter, Have you used B/C/S, Macedonian or Albanian as a working language before? No, Working language Oral Written Oral Written No, Good knowledge Yes 2 Office for Legal Aid and Detention Matters, Registry, ICTY Good knowledge Working knowledge Application Form for Admission of Counsel to the Rule 45 list Tick the appropriate box below for documents that you have attached to this form and sent to the ICTY / Registry. Please note that only up-to-date originals or certified copies will be accepted. If a document is originally written in any other language than English or French, a certified official translation into one of the Tribunal’s official languages is required. A letter expressing your willingness and availability to be assigned to indigent accused/suspects and requesting to be included in the Rule 45 list A detailed curriculum vitae A certificate of professional qualification issued by the competent professional body, including a recent certificate of good standing indicating the absence of current and past disciplinary proceedings against you A certificate of good standing issued by the Association of Defense Counsel practicing before the ICTY Evidence that you have not been found guilty in relevant criminal proceedings The names and addresses of two referees who practice in the fields of criminal law, international humanitarian law, international human rights law or international criminal law, and who are in a position to advise the Registrar as to your professional competence in these fields A certificate from a language institute or other evidence of proficiency in English or French (only for applicants whose native language is not English or French) Other (specify) Declaration I hereby declare that I have not engaged in conduct whether in pursuit of my profession or otherwise which is dishonest or otherwise discreditable to a counsel, prejudicial to the administration of justice, or likely to diminish public confidence in the International Tribunal or the administration of justice, or otherwise bring the International Tribunal into disrepute . Date and signature of applicant: Declaration I certify that the information provided are true and correct. If I am called to assist a suspect/accused in proceedings before the International Tribunal for the Former Yugoslavia, I agree to be bound by the Statute, Rules of Procedure and Evidence, the Directive on Assignment of Counsel, the Code of Professional Conduct for Defence Counsel and other Tribunal regulations and policies which will apply to me in my capacity of counsel. I further undertake to be present at the Tribunal within a reasonable time as specified by the Registrar. Date and signature of applicant: 3 Office for Legal Aid and Detention Matters, Registry, ICTY