District Court Rules
Schedule: B - Forms in criminal proceedings Form: 17.19 Certificate - Offences Against the State Act 1939 section 30(4D) / Criminal Justice (Drug Trafficking) Act 1996 section 2(7A) / Criminal Justice Act 2007 section 50(9)
S.I. No. 33 of 2010
Schedule B
O17. r.14(1)
17.19
*OFFENCES AGAINST THE STATE ACT 1939, section 30(4D)
*CRIMINAL JUSTICE (DRUG TRAFFICKING) ACT 1996, section 2(7A)
*CRIMINAL JUSTICE ACT 2007, section 50(9)
CERTIFICATE
District Court Area of
District No.
I certify that I was the court clerk in attendance at the District Court at the court house (within the meaning of the above-mentioned section) at .............................. on the ........ day of ................. 20 ....., and I certify that a person to whom an application under that section related, namely ........................., arrived at the said court house on that date at ......... a.m./p.m.
Dated the ...... day of ............... 20.....
Signed ......................
District Court Clerk assigned to the said Area
*Delete where inapplicable
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