............................................ Accused

An application having been made this day to me, by the Direction of Public Prosecutions pursuant to section 4J (2) of the Criminal Procedure Act, 1967, AND IT APPEARING to me that ……………...................of............................has contravened section 4J (1) of that Act by publishing or causing to be published the following information in relation to proceedings being brought against the accused under Part 1A of the Act-

I HEREBY so certify that the publication of such information contravened section 4J (1) of the Act.

Dated this day of 20

Signed............................

Judge of the District Court

To the High Court