In the Supreme Court of Newfoundland and Labrador
CR FORM 19.02

In the matter of ____________________________________________,
					(name of applicant)
an application made pursuant to section 745.6 of the Criminal Code for a reduction in the number of years of imprisonment without eligibility for parole

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	 	

APPLICATION
TO: 	The Honourable Chief Justice of the Trial Division of the Supreme Court of Newfoundland and Labrador
1.	I, _________________________________________________________________ 
		(given names, surname and any other names used by the applicant) 
born on __________________________________ and currently detained at 
		(applicant's date of birth)
________________________________________________________________________
		(name and place of the institution where the applicant is imprisoned) 
hereby request, pursuant to section 745.6 of the Criminal Code, the number of years of imprisonment during which I will not be eligible for parole with respect to the sentence imposed on me on ______________________________________
				(date of sentencing) 
at _____________________________________ be reduced to ________________ years.
		(place of trial)						(number of years)
2.	The sentence referred to in paragraph 1 was imposed on me for the following offence: (specify the offence for which the applicant was convicted, including the Criminal Code section)
________________________________________________________________________
________________________________________________________________________

3.	I was convicted of the offence in paragraph 2 on:  (specify the date of conviction)
________________________________________________________________________

4.	The sentence imposed on me was: (give a description of the sentence) 
________________________________________________________________________
________________________________________________________________________

5.	The number of years of imprisonment without eligibility for parole was set at: (give number of years and indicate whether the sentence has been commuted and, if so, give the date of commutation)
________________________________________________________________________
________________________________________________________________________

6.	For the offence referred to in paragraph 2, I have been imprisoned for a period of ______ years, which period includes the time that I spent in custody between the day on which I was arrested and taken into custody for that offence and the day on which the sentence was imposed. 

7.	Since my arrest for the offence referred to in paragraph 2, I have been detained in the following institutions: (give a COMPLETE list of the names and places of each institution in which the applicant has been detained since the date of the arrest for the offence that is the subject of the application and specify the date of entry into each of those institutions)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

8.	My criminal record is as follows: (give a COMPLETE list of convictions and sentences and indicate the date of each)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

9.	I am awaiting trial or sentencing with respect to the following offences: (give a COMPLETE list of all outstanding charges and the date fixed for the next hearing)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

10.	In support of my application I am relying on the following reasons: (specify ALL reasons PRECISELY and CONCISELY)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

11.	The evidence that I intend to rely on in support of my application includes: (list the types of evidence that the applicant intends to present: for example, affidavit evidence, testimony of witnesses or oral evidence of the applicant, and list the names of any deponents and witnesses)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

12.	My address for service is: (complete mailing address)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

13.	The name and address of my counsel is (complete name and address of counsel, if any)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

DATED this ________ day of _________________________, 20___. 

_______________________________________
(signature of applicant) 

In the Supreme Court of Newfoundland and Labrador, General Division

In the matter of ____________________________________________,  
					(name of applicant)

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	 	

AFFIDAVIT

I, the undersigned, ____________________________________, currently detained at 
				(name of applicant)
________________________________________________________________________ in the 
		(name and place of the institution in which the applicant is detained)
Province of Newfoundland and Labrador, make oath and say as follows:
1.	I am the applicant.
2.	The facts set out in paragraphs 1 to 13 of the attached application are true.

SWORN (or AFFIRMED) before me at 
______________________________, in
Province of Newfoundland and
Labrador this ____________  day of
_______________________ 20_____:

________________________________ 		________________________________ 	Commissioner, etc.					(signature of applicant)