FORM 41D
rule 41.13(2)
LETTER OF REQUEST FOR EXAMINATION OF WITNESS
[heading as in originating process]
	TO [the competent judicial authority] of [relevant jurisdiction]
	A civil proceeding is now pending in the Supreme Court of the Northern Territory of Australia in which [name] is plaintiff and [name] is defendant and in which the plaintiff claims [set out a brief summary of the claim]. 
	It has been represented to the Court that it is necessary for the purposes of justice and for the due determination of the questions in dispute between the parties in the proceeding that the following person should be examined as a witness upon oath touching those questions, namely [name] of [address] and it appears that witness is resident within your jurisdiction. 
	I [name], a Judge of the Supreme Court of the Northern Territory of Australia, hereby request that for the reasons mentioned and for the assistance of the Court you summon that witness [where applicable: and such other witnesses as the agents of the plaintiff and defendant request you in writing so to summon] to attend at such time and place as you appoint before you, or such other person as according to your procedure is competent to take the examination of witnesses.  Please have that witness examined orally [where applicable: or upon the interrogatories which accompany this letter of request] touching the questions in issue.  That examination should take place in the presence of the agents of the plaintiff and defendant or such of them as attend the examination on due notice given.
	I further request you to permit the agents of both the plaintiff and the defendant or such of them as are present to examine [where applicable: upon interrogatories and orally upon the subject-matter of those interrogatories or arising out of the answers to them] such witnesses as are, after due notice in writing, produced on their behalf and the other party to cross-examine the witnesses [where applicable: upon cross-interrogatories and orally] and the party producing the witness for examination to re-examine them orally.
	And I further request you to have the evidence of the witnesses [or the answers of the witnesses and all additional oral questions, whether on examination, cross-examination or re-examination] reduced into writing and all books, documents and things produced on that examination to be duly marked for identification.  Please authenticate the examination by the seal of your tribunal or in such other way as is in accordance with your procedure and return it, together with [where applicable: the interrogatories and cross-interrogatories and] a note of the charges and expenses payable in respect of the execution of this request through the [name] of [address] from whom it was received for transmission to the Supreme Court of the Northern Territory of Australia.
	I also request that you have the agents of the parties if appointed informed of the date and place where the examination is to take place.  If no agents are appointed, please let me know that date and place.
	Dated: [date]
(Signed)