Supreme Court Rules 1937—Form 6.2
(see o 84 r 8)
Appeal extension of time

In the Supreme Court of the Australian Capital Territory

No		of (year)

On appeal from (name of the relevant court, tribunal, body or person)

(name)
Appellant

(name)
Respondent

1	On [date] at [place], the tribunal, constituted by [name(s) of member(s) constituting the tribunal], made the following decision:1
2	A notice of appeal [*will not be/*has not been] filed in the Court within the time specified in the Act under which that decision is made.
3	The appellant applies to the Court for an extension of time in which to bring a notice of appeal from that decision.
4	The grounds of the application appear in the annexed affidavit.

Date:

Signature of *appellant/*appellant’s solicitor:

Address for service:	

Hearing date

This application will be heard in the Court on [date] at [place].

Date:

By the Court

(Signature and description of officer of the Court)

*Strike out where inapplicable
Note	The court, tribunal, body or person from the decision of which (or of whom) the appeal is to be brought is referred to in this notice as the tribunal.
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