Supreme Court Rules 1937—Form 1.39
(see o 39 r 24C)
Undertaking—letter of request

In the Supreme Court of the Australian Capital Territory

No		of (year)

(name/s)
Plaintiff[s]*

(name/s)
Defendant[s]*

1	I [or We], [     name(s)     ] of [     address(es)     ], undertake to be responsible for any reasonable expenses incurred by the Territory, the Commonwealth, or both, in respect of the letter of request dated [date of issue of letter of request].
2	On receiving due notification of the amount of such expenses I [or we] undertake to pay that amount as directed by the Registrar.
3	The plaintiff’s agent in connection with the execution of that letter of request is [     name      ] of [     address     ].
4	The defendant’s agent in connection with the execution of that letter of request is [     name      ] of [     address     ].
Date:
Signature of solicitor for/party obtaining order for issue of letter of request:
*(delete if 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