ClaimFormPt7CountyCt2

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Claim Form

In the High Court of Justice

Queen’s Bench Division

(Bristol District Registry)

Fee Account no.

For court use only

Claim no.

Issue date

You may be able to issue your claim online which may save time and money.

Go to www.moneyclaim.gov.uk to find out more.

Claimant’(s) name(s) and address(es) including postcode

MAURICE JOHN KIRK BVSc

124 Cheltenham Road,

Bristol

BS6 5RW

SEAL

Defendant’(s) name and address(es) including postcode

1.

SECRETARY OF STATE FOR JUSTICE

102 Petty France,

London

SW1H 9AJ

2.

PAROLE BOARD FOR ENGLAND AND WALES 3. CHIEF CONSTABLE OF SOUTH WALES POLICE

52 Queen Anne’s Gate, South Wales Police Headquarters,

London Cowbridge Road,

SW1H 9AG Bridgend

CF31 3SU

Brief details of claim

1.

Damages against the 1 st and 2 nd Defendants for misfeasance in a public office and/or unlawful imprisonment and/or under section 8(1) of the Human Rights Act 1998 for wrongful and/or unlawful imposition of licence conditions under section 244 of the Criminal Justice Act

2003 and/or the Criminal Justice (Sentencing)(Licence Conditions) Order 2005 dated on or about 4 th July 2014, in breach of article 10(1)

ECHR as incorporated under schedule 1 of the Human Rights Act 1998 and/or the Treaty on European Union, and/or wrongful and/or unlawful revocation of licence under section 254 of the Criminal Justice Act 2003 on 11 th July 2014, and/or subsequent unlawful detention and/or imprisonment and/or failing to make arrangements for an oral hearing before the Parole Board with all due expedition and/or failing to provide the said oral hearing eventually set for hearing on 4 th February 2015 in respect of his release from custody, in breach of article 5 of the ECHR as incorporated under schedule 1 of the Human Rights Act 1998 until the Claimant’s final release from

HMP Swansea on 28 th March 2015.

2.

Damages against the 3 rd Defendant for misfeasance in a public office and/or breach of the Data Protection Act 1998 and/or breach of the

Protection from Harassment Act 1997 regarding supplying of false information and reports to the 1 st and 2 nd Defendants between 22 th

July 2014 and 28 th March 2015 regarding the Claimant’s recall on licence.

Value

Damages limited to £100,000

You must indicate your preferred County Court Hearing Centre for hearings here (see notes for guidance)

Not applicable

Defendants’ name and address for service including postcode

1.

Secretary of State for Justice,

Government Legal Department,

One Kemble Street,

London

WC2B 4TS

2.

Parole Board for England and Wales,

52 Queen Anne’s Gate,

London

SW1H 4TS

3.

Chief Constable of South Wales Police,

South Wales Police Headquarters,

Cowbridge Road,

Bridgend

CF31 3SU

Amount claimed

Court fee

Legal representative’s costs

Total amount £100,000

Damages limited to

£100,000

£

For further details of the courts www.gov.uk/find-court-tribunal.

When corresponding with the Court, please address forms or letters to the Manager and always quote the claim number.

N1 Claim form (CPR Part 7) (05.14)2

© Crown Copyright. Reproduced by Thomson Reuters (Professional) UK Ltd.

Claim No.

Does, or will, your claim include any issues under the Human Rights Act 1998?

Particulars of Claim (attached)(to follow)

Yes No

Statement of Truth

*(I believe)(The Claimant believes) that the facts stated in these particulars of claim are true.

* I am duly authorised by the claimant to sign this statement

Full name MAURICE JOHN KIRK BVSc

Name of claimant’s legal representative’s firm

Signed position or office held

(if signing on behalf of firm or company)

*delete as appropriate

*(Claimant)(Litigation friend)

(Claimant’s legal representative)

Phone 07708 586202

Email maurice@kirkflyingvet.com

Claimant’s or claimant’s legal representative’s address to which documents or payments should be sent if different from overleaf including (if appropriate) details of DX, fax or e-mail.

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