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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 86.4 Order Of Refusal To Grant Public Dancing Licence - Public Dance Halls Act 1935

No. 86.4

O.86, r.4 (5)

Public Dance Halls Act, 1935

section 8

Order of refusal to grant public dancing licence

(with the consent of the licensee under the existing licence)

District Court Area of

District No.


.......... Applicant

UPON APPLICATION duly made to the Court on the ... day of .... 19 by the Applicant ......... of .............. for the grant of a Licence to use a particular place, to wit: .......... situate at ............. in court area and district aforesaid, for public dancing and in respect of which place a public dancing Licence was then in force, the Licensee being ....... of ........... who consented to this application being made,

THE COURT on the ... day of ..... 19.. ORDERED that the said application be REFUSED.

Dated this ... day of ..... 19...

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

Judge of the District Court