District No.

Between .........

of ..........

and

.......

of .......

WHEREAS at a sitting of the District Court for court area and district aforesaid held at .......... on the ... day of ..... 19... a direction under section 38 (1) of the above Act for the use of blood tests in the above proceedings was given,

AND WHEREAS the blood samples to which the direction relates have been tested by virtue of section 40 of the said Act,

AND WHEREAS the above-named ..........., party to the proceedings, has within the last 14 days received a copy of the report made to the Court under section 40 (2) of the said Act,

TAKE NOTICE that the said .........., party to the proceedings, intends to call as a witness at the next hearing of the above proceedings to be held in the District Court at ....... on the ... day of .... 19... at ... a.m./p.m. one .................... of .....................

*(the person under whose control the blood samples were tested) *(a person by whom anything necessary for the purpose of enabling those tests to be carried out was done).

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

Signed .........

Party to the proceedings

(or)

Solicitor for Party to the

proceedings.

To

of

* Delete words inapplicable