FORM 5D
rule 5.02(2)
ORIGINATING MOTION
[where no defendant]
IN THE SUPREME COURT
OF THE NORTHERN TERRITORY
OF AUSTRALIA AT
[DARWIN / ALICE SPRINGS]
							
No.    
					A.B.			Plaintiff 

	IN THE MATTER of an application by A.B. for [describe nature of application and state the Act, if any, under which the application is made].
	The plaintiff will apply to the Court on [date] at [time] for [specify the relief or remedy sought and the Act, if any, under which the claim is made, and where it includes any question to be answered, state the question].
	FILED: [date]    
REGISTRAR
The address of the plaintiff is: [address]
The address for service of the plaintiff is: [address]