FORM 7A-A
rules 7A.04(2)(a), 7A.06(2)(a), 
7A.13(2) and 7A.16(4)(a) and (b)
REQUEST FOR SERVICE ABROAD OF JUDICIAL DOCUMENTS AND CERTIFICATE
Part 1		Request for service abroad of judicial documents
Convention on the Service Abroad of Judicial and Extrajudicial Documents in Civil or Commercial Matters, done at The Hague on 15 November 1965
Identity and address of the forwarding authority requesting service		Identity and address of receiving authority [Central Authority/ additional authority]	
The undersigned forwarding authority (on the application of [name and address of applicant on whose behalf forwarding authority requests service]) has the honour to transmit – in duplicate – the documents listed below and, in conformity with Article 5 of the abovementioned Convention, requests prompt service of one copy thereof on the addressee, ie:
(identity and address) 	
	
(a)	in accordance with the provisions of subparagraph (a) of the first paragraph of Article 5 of the Convention*.
(b)	in accordance with the following particular method (subparagraph (b) of the first paragraph of Article 5*): 	.....
		
(c)	by delivery to the addressee, if he or she accepts it voluntarily (second paragraph of Article 5)*.
The receiving authority [Central Authority/additional authority] is requested to return or to have returned to the forwarding authority a copy of the documents – and of the annexures* – with a certificate as provided in Part 2 of this Form on the reverse side.
List of documents

Done at .........., the ..........
Signature or stamp (or both) of forwarding authority.
*Delete if not applicable.

Part 2		Certificate
Convention on the Service Abroad of Judicial and Extrajudicial Documents in Civil or Commercial Matters, done at The Hague on 15 November 1965
The undersigned authority has the honour to certify, in conformity with Article 6 of the Convention:
1	that the documents listed in Part 1 have been served*
	– the (date) ..................................................................................................
	– at (place, street, number) .........................................................................
		.................................................................................................................
	– in one of the following methods authorised by Article 5 of the Convention:
(a)	in accordance with the provisions of subparagraph (a) of the first paragraph of Article 5*, .......................................
..........................................................................................................
(b)	in accordance with the following particular method*: .......................
..........................................................................................................
(c)	by delivery to the addressee, who accepted it voluntarily*.
	The document referred to in the request, has been delivered to:
	– (identity and description of person) ..........................................................
		.................................................................................................................
	– relationship to the addressee (family, business or other) ........................
		.................................................................................................................
		.................................................................................................................
2	that the document has not been served, by reason of the following facts*: 
….........................................................................................................................
............................................................................................................................
In conformity with the second paragraph of Article 12 of the Convention, the forwarding authority is requested to pay or reimburse the expenses detailed in the attached statement*.
Annexures
Documents returned: 	..................................................................
............................................................................................................................
............................................................................................................................
In appropriate cases, documents, establishing the service: 	
............................................................................................................................
............................................................................................................................
Done at .........., the ..........
Signature or stamp, (or both).
*Delete if not applicable.