Form 5.14	Court of Appeal—certificate of examination of appeal papers
Court Procedures Rules 2006
(see r 5435 (Appeals to Court of Appeal—filing and serving appeal papers))
In the Supreme Court of the Australian Capital Territory
Court of Appeal
*[Criminal jurisdiction]
No ACTCA		of (year)
*[Appeal from *[Justice (name of judge)/Associate Judge (name of associate judge)]/Appeal against *[conviction/sentence imposed by Justice (name of judge)]]
(No SC		of (year))

(name)
Appellant

(name)
Respondent

I have examined the appeal papers and certify that they are correct.

Date:							Date:

(signature of appellant/				(signature of respondent/
appellant’s solicitor)					respondent’s solicitor)

(name of appellant/					(name of respondent/
appellant’s solicitor)					respondent’s solicitor)

*omit if, or whichever is, inapplicable