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Criminal Procedure Rules, rule 37.11: Statutory …

1 Statutory DECLARATION ( Criminal Procedure Rules, rule ; Magistrates Courts Act 1980, section 14) Original Case Number: Account reference number: New Case number: Case details Defendant s full name: Current address: Defendant s date of birth: Convicted at: Magistrates Court This declaration was made at: Magistrates Court, or address of solicitor or Commissioner for Oaths Declaration I do solemnly and sincerely declare that: 1. I am the defendant named above. 2. I now know that the hearing in this case began on or about (date). 3. I found out about the case on (date) because: Explain briefly how you found out. If you use an electronic version of this form, the space beneath will If you use a paper version and need more space, use the back of the form.

2. Make the declaration before a magistrate, a District Judge (Magistrates’ Courts), or a solicitor or Commissioner for Oaths. You can ask for help at any magistrates’ court office.

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