In the Supreme Court of Newfoundland and Labrador
CR FORM 11.02
Supreme Court File #:__________________CR 
BETWEEN: 

HIS MAJESTY THE KING  (Applicant/Respondent)

v.   ______________________________________________  (Applicant/Respondent)
		(name of accused)

SUMMARY OF CURRENT DOCUMENT	
Court File Numbers(s):		
Date of Filing of Document:	 	
Name of Filing Party or Person:	 	
Application to which Document 
being filed relates:		
Statement of purpose in filing:		
Court Sub-File Number, if any	 	
Notice of application
TAKE NOTICE that on the ___________ day of _____________________, 20_____ at _______________ in the forenoon/afternoon at the court house located at _______________
___________________________________________________, in the judicial centre of ______________________________________, in the province of Newfoundland and Labrador,
•	a date for the hearing of this application will be assigned; 
OR
q	this application will be heard.
1.	The accused is charged with the following offences in relation to this application:
______________________________________________________________________________
______________________________________________________________________________
2.	The Applicant seeks an order granting the following relief: (list the relief sought and if applicable, the section of the Criminal Code under which the application is brought)
______________________________________________________________________________
______________________________________________________________________________
3.	The grounds for the application are:  (list the grounds for the application including any statutory provision or rule)
______________________________________________________________________________
______________________________________________________________________________
4.	The Applicant relies on the following in support of this application:  (list the documents, etc. to be relied on)
______________________________________________________________________________
______________________________________________________________________________
5.	The hearing for this application will require approximately __________ hours/days.
6.	q	The accused is not in custody.
OR
q	The accused is in custody at _______________________________________ and 
						(name of institution)
	q	the accused is required to be present at the hearing of the application in accordance with clause (i), (ii) or (iii) of paragraph 650.01(3)(a) of the Criminal Code.
q	the accused wishes to be present for the hearing of the application.
q	the accused does not wish to be present for the hearing of the application.
7.  	Check all that apply to this proceeding:
q	A resolution conference was held on __________________________.
q	A pre-trial conference was held on __________________________.

DATED this ________ day of _________________________, 20___. 

_______________________________________
(signature of applicant or counsel) 
Address: _______________________________
_______________________________________
Tel: ___________________________________  
Fax: __________________________________