Supreme Court Rules 1937—3.20
(see o 76 r 25)
Affidavit of personal service of notices of application

In the Supreme Court of the Australian Capital Territory

No		of (year)

Adoption Act 1993

In the adoption of (full name to be given to the child/full name of adopted child)

On (date) I, (name) of (address), (occupation), say on oath: 
1	On [date of service], 1 duly served [full name of person served] with a copy of a notice of the application mentioned above by delivering it to that person personally at [address].
2	I identified the person served in the following way:

[Here set out the way in which the deponent identified the person served.]
3	I served [*the chief executive responsible for adoption/*the principal officer of [name], an adoption agency] by giving the copy of the notice to a member of staff of [*the office of the chief executive/*the adoption agency].
4	The member of staff was identified as such in the following way:

[Here set out the way in which the deponent identified that the person was such a member of staff.]
Sworn by the deponent—
Signature:
Witness:
[Signature, name and title of person before whom affidavit is sworn or affirmed]

*Strike out where inapplicable.

Endnote
1	This form was originally in the Supreme Court Rules 1937.  Under the Court Procedures Act 2004 A2004-59, pt 8, the form became a form approved under that Act. 

©  Australian Capital Territory 2005