Form 74AJ Supreme Court [orForm 146 District Court]

Supreme Court Rules P. 75 rule3H (1) [or District Court Rules Part 53 Rule 10B]

ELECTION UNDER S. 132 (1) OF THE CRIMINAL PROCEDUREACT 1986

I, FRED BLOGGS , of 67A Johnston Street Annandale, being charged with armed robbery,elect to be tried by a Judge alone in respect of the alleged offence(s).

I have before making this election sought and receivedadvice in relation to the election from Julia Keen barrister (or solicitor).

The date fixed for my trial is 1 April 2000.

Dated: 30 March 2000

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Accused

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Witness to signature of accused
Full name and address of witness:

The Director of Public Prosecutions consents to thiselection.
Dated: 30 March 2000

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(Signature and description)