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Notice of Application to Vary Bail Conditions
Section 33 Bail Act 2000
Rule 2.12-2.14 Criminal Procedure Rules 2012
Name of defendant:
CRI:
Defendant’s contact number
Scheduled court:
Defendant’s lawyer:
Next hearing date:
Charges
List of charges the defendant is facing:
Existing Bail Conditions
What are the existing conditions: Tick and complete the relevant conditions. List any other conditions not included on the form
To reside at ________________________________________________ Curfew to _____________________ between ____________ and
_____________ On Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday
and present self at the door (cross out any days not appropriate) Not to drive a motor vehicle Not to associate or have contact directly or indirectly with Not to consume alcohol Not to enter licensed premises other than supermarkets Not to consume non prescribed drugs
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Specify the reasons for the application to vary the bail conditions
List the condition(s) to be varied
Signed:
Signature
Name: Date:
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Prosecution views
Prosecutor name Prosecutor address for service
We agree to this bail variation
Yes
No
If the bail variation is opposed:
Which bail condition is opposed
State the grounds for the opposition
Signature
Name:
Date:
Signed: