Form 10	Affidavit for person to act as litigation guardian
Court Procedures Rules 2006
(see r 278 (2) (Becoming a litigation guardian))
In the *[Supreme/Magistrates] Court of the Australian Capital Territory

No *[SC/MC]		of (year)

(name)
Plaintiff

(name)
Defendant
On (date), I (full name of person making affidavit) of (home or business address or place of employment), *[say on oath/solemnly affirm]—
1.	I make this affidavit as (state capacity in which the person makes the affidavit).
2.	(Name), of (address), has agreed to be the litigation guardian of the *[plaintiff/defendant].
3.	(Name) is an appropriate person to be the litigation guardian.
4.	(Name) has no interest in the proceeding adverse to the interest of the *[plaintiff/defendant].

*[Sworn/Affirmed] by (full name): 
(signature of person making affidavit)
at (place) in the presence of: 
(signature of person before whom affidavit is made) 
(Full name of person before whom affidavit is made) of (address)
*[Justice of the Peace/Barrister/Solicitor/(other)]

*omit if, or whichever is, inapplicable
Note	Rule 278 (2) requires the following to also be filed:
	a consent by the litigation guardian; and
	if the person with a legal disability is a plaintiff—an undertaking by the litigation guardian as to costs.