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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 86.5 Notice Of Surrender Of Public Dancing Licence - Public Dance Halls Act 1935

No. 86.5

O.86, r.5

Public Dance Halls Act, 1935

section 7

Notice of surrender of public dancing licence

District Court Area of

District No.


TAKE NOTICE that ............. of ............ hereby surrenders the attached Public Dancing Licence in respect of the place ............ situate at .............. in court area and district aforesaid, pursuant to section 7 of the above Act.

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

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

Licensee or Solicitor for Licensee

To the Clerk of the District Court,

at