FORM 81A-ZC
rule 81A.41(22)
File No: [file number]
PROGRAM PROBATION ORDER UNDER SECTION 20BY OF
CRIMES ACT 1914 OF THE COMMONWEALTH
To: [Offender's full name]
of [address] 
On [date] you were convicted of the following offence(s):
CASE & OFFENCE NOS	
OFFENCE	
File number	[No]	[offence]	

NOW this Court orders you, under section 20BV(1) of the Crimes Act 1914 of the Commonwealth, to undertake the following education program/treatment: [specify nature of treatment to be given].
for [period of detention]
This order is subject to the condition that:
(a)	you will for [period] be subject to the supervision of a probation officer appointed in accordance with this order; 
	AND
(b)	you will be of good behaviour for [period].
Date: [date]
JUDGE