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

								File No.

BETWEEN:

(name)
Plaintiff/Appellant

AND

(name)
Defendant/Respondent

CONSENT ORDER

CORAM:	

DATE MADE:	(leave blank)

ORIGINATING PROCESS:	Originating Motion or Writ or Notice of Appeal (delete inapplicable) filed (date)

HOW OBTAINED:	By consent of the parties

OTHER MATTERS:

THE COURT ORDERS THAT:

1.

2.

............................................................
 CORAM

-2-

The Plaintiff (or the Defendant, as the case may be) applies to the Judge under Rule (set out Rule) of the Supreme Court Rules to make an order in the terms set out above.

...................................................................

(name and capacity of the person signing)

(date)

The Defendant (or the Plaintiff, as the case may be) consents to this order being made.

.................................................................

(name and capacity of the person signing)

(date)

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

File No.       

BETWEEN:

	(name)
	Plaintiff/Appellant

AND

	(name)
Defendant/Respondent

________________________________

CONSENT ORDER
________________________________

(name)
(address)
(Telephone)
(Facsimile)
(email)