Form 5.02B
(rule 5.02)

File number: 20____ ____ G __________

IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR
GENERAL DIVISION

In the matter of an application
of (name of applicant)

Originating Application
(Ex Parte)

TO THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR OR ONE OF THE JUDGES THEREOF:

The application of (name of applicant), says,

1. 	(Set out the material facts, in numbered paragraphs.)
	
2. 	The applicant therefore applies for an order that (set out the relief, remedy, or order you are requesting).

DATED at _____________ (city/town), _______________________ (province or, if outside of Canada, country), on the ________ (day) of __________________ (month), ________ (year). 
__________________________
(Signature)
Applicant/Solicitor for Applicant 

Whose address for service is: 
(Insert address for service)
Newfoundland and Labrador

ISSUED at 					  (city/town) in the Province of Newfoundland and Labrador this 		 (day) of 			 (month), 		 (year).

(Affix seal of the court)

(signature)
Registrar/Registry clerk

File number: 20____ ____ G __________

IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR
GENERAL DIVISION

In the matter of an application
of (name of applicant)

Affidavit

I, (affiant’s name) of (city/town), (province or, if outside of Canada, country) (swear/affirm) and say as follows: 

1. I have read and I understand the foregoing application. 

2. I have personal knowledge of the facts contained therein and they are true to the best of my knowledge, information and belief. 

3. (Set out the material facts, in numbered paragraphs.)

SWORN/AFFIRMED 
at _____________________ (city/town), ________________________ (province or, if outside of Canada, country), on the _____(day) of ____________________ (month), ______ (year), before me 			

_____________________	
(signature)
Commissioner, notary public, etc. 

_____________________	
(signature of affiant)