Form 4.11	Supreme Court criminal proceeding—election for trial by judge alone
Supreme Court Act 1933, s 68B
In the Supreme Court of the Australian Capital Territory
Criminal jurisdiction

No		of (year)

The Queen
and
(name of accused person)

I, (name of accused person), the accused person, elect to be tried by a judge alone.
Date:
(signature of accused person)
(name of accused person)
Certificate of legal practitioner
I, (name of legal practitioner), certify as follows:
1	I am *[the accused person’s legal practitioner/ a legal practitioner].
2.	I have advised the accused person in relation to the election.
3.	The accused person has made the election freely.
Date:
(signature of legal practitioner)
(name of legal practitioner)
*omit if, or whichever is, inapplicable