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EFTA00266722

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9 FORM 7 - BAIL ACT 1985 APPLICATION TO VARY THE CONDITIONS OF A BAIL AGREEMENT APPLICATION TO REVOKE BAIL AGREEMENT PART A: APPLICATION __(Insert full name _o_f person released on bail) ..... of (insert address) is charged with / has-bean-aeftvieted-ef-* ersic, er-asourr and was granted bail on I, (insert name of applicant) "ittCS.V.eivitic- Crier:iv-Mc 174ittrarnif> of (insert address) (Section 6(4)) apply to (insert name of bail authority) . at Port Pine to - * vary the conditions of the bail agreement 2.4,0w3k.414.4 64.egreement__ I make this application on the following grounds: t.* ONZ rTh -n-IC Ori4-1 PCauc. tAtIca- 1PY9N) ONO Vr,3 5t.e. flFFQRD *eriDt-tit-CT0 P6uolk. screct- NgaS> 9 11 i5 i3Dic cciitPrTION ic-CFWD -Fc? ENekl‘e .frr€ &LET Bock so -foot c . Applicant's signature: Len ik; / Date: % Mitt in * Strike out whichever does not apply 010\915.tratees Court. PART B: NOTICE OF HEARING TO — * The person on bail Pj- Pint * The police prosecutor at *The Director of Public Prosecutions * The guarantor of bail The application to — * vary the conditions of a bail agreement * revoke the bail agreement the details of which are set out in Part A, has been listed for hearing at (insert name of court) Pt Pine on (insert day and date) at JO.: 30... am/pa All parties to the application must attend the hearing. Court officer's signature: Date: * Strike out whichever does not apply EFTA00266722

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