FORM 81A-B
rule 81A.11(3)
IN THE SUPREME COURT			
OF THE NORTHERN TERRITORY 		
OF AUSTRALIA AT [DARWIN / ALICE SPRINGS]	
File No. [File number]
BETWEEN
THE KING
and
[NAME OF ACCUSED]
APPLICATION TO THE COURT IF SERVICE OF 
APPLICATION IS NOT REQUIRED
[Applicant's full name] 
of [address] 
Application under [cite authority under which application is made]
The matter to which the application relates is: [briefly specify the matter to which the application relates]
Order/declaration sought: [state the order/declaration sought]
Date: [date]
Signature of the applicant 
or applicant's solicitor
______________________________________________________________
NOTICE OF HEARING
TO:	[Name of accused] and Director of Public Prosecutions
NOTE: That the above matter has been listed for hearing at [Court], Supreme Court Building [State Square, Darwin / 14 Parsons Street, Alice Springs] on the [date] day of [month, year] at [time] when all parties to the matter must attend.

COURT OFFICER
Date: [date]