Application for compulsory examination
Form 26 Application for compulsory examination
Rule 55
Application for Compulsory Examination
(Section 103 of the Criminal Procedure Act 2009)
In the Magistrates' Court of
Victoria at [venue] Court Ref.:
TO: [name of person who is to attend]
THE APPLICANT [insert name] applies for an order—
TAKE
In relation to the person sought to be examined:
*the prosecution asked the person to make a statement and the person refused to do so;
*the informant *is/*is not aware the person has obtained legal advice in relation to the proposed examination;
*the person *has/*has not been a suspect with respect to the matter;
*the person *has/*has not been made aware of this application.
The committal mention date in this committal proceeding is: [date].
The application will be heard at the Magistrates' Court at [venue] on [date] at a.m./p.m. or so soon afterwards as the business of the Court allows.
Date:
[Registrar]
This application was filed by: [name of informant]
Address:
Telephone:
Email address:
*Delete if not applicable
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