Form 6.5	Request to Registrar for service in non-convention country
Court Procedures Rules 2006
(see r 6511 (Service outside Australia—service in non-convention countries))
In the *[Supreme/Magistrates] Court of the Australian Capital Territory

No *[SC/MC]		of (year)

(name)
Plaintiff

(name)
Defendant
I, (name), ask that (identify document*(s) to be served) be sent through the diplomatic channel to (name of non-convention country) for *[service/substituted service] on (name of person to be served) at (address for service) or somewhere else in (name of non-convention country).
(the person requesting service, or the person’s solicitor, must give the following undertaking)
I, (name of person giving undertaking), undertake to be responsible for all expenses incurred by the Court, or by anyone at the Court’s request, in complying with the request (the incurred expenses) and to pay the Registrar the amount of the incurred expenses on being given an account of them by the Registrar.
Date:
(signature of requesting person/requesting person’s solicitor)
(name of requesting person/requesting person’s solicitor)
*omit if, or whichever is, inapplicable