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: