Form 53.03A
(rule 53.03)
File number: 20____ ____ G __________

IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR
GENERAL DIVISION

BETWEEN:			
	(Plaintiff’s name)	PLAINTIFF	
			
AND:			
			
	(Defendant’s name)	DEFENDANT	
			
(Modify title of proceeding as necessary.)
Order of Appearance
Before the Honourable _________ Justice____________
UPON THE APPLICATION OF __________________. AND UPON READING the affidavit of ____________________, filed herein: 
IT IS ORDERED THAT the sheriff cause A.B. to appear before the Court (forthwith) (on the ________ day of _________, 20_______, at the hour of ___________.m.), to show cause why A.B. should not be held in contempt of court and, if required, to perform or abide by such other order as the Court may make;
IT IS FURTHER ORDERED THAT the sheriff may take A.B. into custody and hold him or her if required hereunder
DATED at 					  (city/town) in the Province of Newfoundland and Labrador this 		 (day) of 			 (month), 		 (year).

(signature)
Registrar/Registry clerk