Supreme Court Rules 1937—Form 3.11
(see o 76 r 15)
Notice of application for variation order

In the Supreme Court of the Australian Capital Territory

No		of (year)

Adoption Act 1993

In the adoption of (full name of adopted child)
To:  [full name], of [address]—
An application for the Court to [*vary/*revoke] a condition of the order for the adoption of [full name of adopted child] dated [date] has been set down for [*hearing by the Court/*the sittings of the Court commencing] on  [date].
If you intend to oppose the application, you should enter an appearance and give notice of your appearance to the person(s) signing below within 10 days after service of this notice.

This notice is given—
*personally by [full name], who is seeking the variation of the adoption order in [*his/*her] capacity as [*adopted child/*adoptive parent/*birth parent].
*by [full name], on behalf of [full name of adopted child].
*by [name(s)], solicitor(s), on behalf of [full name], who is seeking the variation of the adoption order in [*his/*her] capacity as [*adopted child/*adoptive parent/*birth parent].
Date:
Signature:
Address for service:
*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