Magistrates Court Rules 1932—Form 9
(see s 12 (2) (b) and s 14 (2) (a))

MAGISTRATES COURT
AUSTRALIAN CAPITAL TERRITORY
UNDERTAKING TO ATTEND AS A WITNESS 

TO BE COMPLETED BY THE INFORMANT (SECTION 12) OR BY THE COURT (SECTION 14) AND GIVEN TO A PERSON REQUIRED AS A WITNESS AT A HEARING IN THE MAGISTRATES COURT
	Court Ref: .........…..
	File No:    .........……
[name]	..............................................
[address]	........................…..................
	.................…...........P/C.......   Date of birth: ..... /....... /20.....   M/F
is required to attend the Magistrates Court to give evidence in the matter 
of  .......................................................................
at  .......................................................................
on [date] ...... / ..... /20....    at [time] ...............  am
[signed]  ...............................................................
on [date] ...... / ..... / 20.....
Informant/registrar

Do not detach

TO BE COMPLETED BY THE PERSON REQUESTED OR SUBPOENAED TO ATTEND AS A WITNESS AT A HEARING IN THE MAGISTRATES COURT AND TO BE RETURNED TO THE INFORMANT/THE MAGISTRATES COURT IN THE ATTACHED STAMPED AND ADDRESSED ENVELOPE BY 
.......... / ............. / 20.......
FAILURE TO RETURN THIS UNDERTAKING BY THE ABOVE DATE MAY RESULT IN A WARRANT BEING ISSUED FOR YOUR ARREST
I [name]	................................................……..
[address]	................................................……..
	............…….......................P/C.....….
will attend the Magistrates Court to give evidence in the matter 
of  .......................................................................
at  .......................................................................
on [date] ..... / ..... /20..... at [time] ...............  a.m.
[signed] ...............................................................  on [date] ...... /...... / 20.....

Note  A form for the claim for reimbursement of the reasonable costs and expenses incurred by you in appearing as a witness is attached.  Please complete the form and present it to the court registry counter following your appearance as a witness. 

Endnotes
1	This form was originally in the Magistrates Court Act 1930 (the authorising Act), schedule 1.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under section 256 of that Act (see amdts 1.2764 and 1.2769).
2	Under the Court Procedures Act 2004 A2004-58, pt 8, this form became a form approved under that Act.
3	This republication includes amendments made under the Legislation Act, part 11.3 (Editorial changes).

©  Australian Capital Territory 2005