Protection from Harassment Act, 2010 (Act No. 17 of 2010)RegulationsProtection from Harassment Regulations, 2013AnnexuresForm 23 [Regulation 25] |
WRITTEN NOTICE TO APPEAR BEFORE COURT
SECTION 11(4)(c) OF THE PROTECTION FROM HARASSMENT ACT, 2011 (ACT
NO. 17 OF 2011)
Notice must be completed in duplicate
Case No. __________________________________________
IN THE MAGISTRATE'S COURT FOR THE DISTRICT ___________________________________________________________
HELD AT______________________________________________________________________________________________ COURT ____________________________________________
DATE OF TRIAL _________________________________________________________________________________________
TO :
Name of accused: |
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Home address: |
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Sex: |
Occupation: |
Identity number/Date of birth: |
Home/contact telephone number/s: |
You are hereby notified that you must appear personally before the abovementioned court on the date stated above at 08:30 on the following charge:
PARTICULARS OF CHARGE:
You are guilty of the offence of contravening section 18(1)(a) of the Protection from Harassment Act, 2011 (Act No. 17 of 2011), in that upon or about the ....................day of .................................and at or near ...............................................in the district of ...................................................you contravened a prohibiton, condition, obligation or order imposed in terms of section 10(1) or (2) of that Act in that: .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... |
Note: (1) Please produce this document to the clerk of the court on the date of trial.
(2) By failing to appear before the court as notified you will be arrested in terms of a warrant of arrest already authorised by the court in terms of section 11 (1)(a) of the Act.
CERTIFICATE:
I, in my capacity as a member of the South African Police Service stationed at________________________________________________________________, hereby certify that I have handed the original of this notice to the accused mentioned therein at_______________________________________ (place) on _________________________ (date) and that I explained the contents thereof to the accused.
Name and surname of member:________________________________________________________
Rank:_______________________________________________________________________________
Persal number:______________________________________________________________________
Signature of member:________________________________________________________________
Date:_______________________________________________________________________________
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