Form 4.13	Magistrates Court—undertaking to attend as witness
Court Procedures Rules 2006
(see r 4330 (Magistrates Court witness—informant may request attendance))
In the Magistrates Court of the Australian Capital Territory
Criminal jurisdiction

No MC		of (year)

*[The Queen/(name of informant)]
and
(name of accused person)

You must complete this undertaking and return it to the informant by (date)
(to be completed by person requested to attend hearing as witness)
Undertaking by witness
I, (name of person requested to attend hearing as witness), of (address) undertake to attend the Magistrates Court to give evidence in this matter on (date) at (time).
Date:
(signature of person requested to attend hearing as witness)
(name of person requested to attend hearing as witness)