IN THE SUPREME COURT
OF THE NORTHERN TERRITORY
OF AUSTRALIA
AT DARWIN	File No.           

BETWEEN:

(insert full name in capitals)

	Plaintiff

AND

(insert full name in capitals)

	Defendant
	
AFFIDAVIT

DEPONENT: 
DATE PROMISED/SWORN:

I, ……………………. of ……………………………….(address) in the Northern Territory of Australia, (occupation) PROMISE as follows:

1.	 (Outline evidence upon which the deponent intends to rely)

2.	

I know the facts deposed to herein of my own knowledge, information and belief except where otherwise stated.

PROMISED/SWORN by 	     )
(name)             	                )
at (place) on (date)  	     )

Before Me

Commissioner of Oaths / Justice of the Peace

IN THE SUPREME COURT
OF THE NORTHERN TERRITORY
OF AUSTRALIA
AT DARWIN	File No.           

BETWEEN:

(insert full name in capitals)

	Plaintiff

AND

(insert full name in capitals)

	Defendant

This is the annexure marked with the letter “A” referred to in the Affidavit of [FULL NAME – CAPITALS AND BOLD]

Made before me on [date]

……………………………………………

Commissioner for Oaths/Justice of the Peace

IN THE SUPREME COURT
OF THE NORTHERN TERRITORY
OF AUSTRALIA
AT DARWIN	

File No.

BETWEEN:

(insert full name in capitals)

	Plaintiff

AND

(insert full name in capitals)

	Defendant

___________________________

AFFIDAVIT
___________________________

(name of firm)
(address)
(Telephone)
(facsimile)
(Email)
(reference)