In the Supreme Court of Newfoundland and Labrador
CR FORM 18.02
Supreme Court File #:__________________CR
 
Provincial Court File #:__________________

Notice of Application for an Order 
in the Nature of Certiorari
TO: ______________________________________, Provincial Court Judge 
presiding at ___________________________________                          

You are hereby required immediately after service of this application to return to the Registry of the Supreme Court of Newfoundland and Labrador at the judicial centre of ____________________________________________ the conviction (or ... as the case may be) referred to in the application together with the information, evidence and exhibits filed, if any, and all things touching the matter as fully and entirely as they remain in your custody, together with this notice. 

DATED this ________ day of _________________________, 20___. 

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