Document ID: chunk:federal_register_of_legislation:F2015C00766:schedule:1:p2
Version: federal_register_of_legislation:F2015C00766
Segment Type: schedule
Provision Reference: sch 1 (pt 2/10)
Character Range: 9663–12796

(the prisoner), born on [prisoner's date of birth], who has been released on parole, from Australia to [name of transfer country] (the transfer country) to complete the prisoner's sentence on the terms set out in the Schedule.

2 Written consent statement

For paragraph 22 (2) (c) of the Act, I state that I, and the following persons and authorities, have given written consent to the transfer of the prisoner from Australia to the transfer country:
       (a) *[name of prisoner]/*[name of prisoner's representative];
    (b) [name of representative of appropriate authority of transfer country];
    (c) [name and title of relevant State Minister].

**3 Approvals, permissions etc
[Complete this section if approvals, permissions etc are to be specified.]

*For paragraph 22 (4) (a) of the Act, I specify:
[specify any approvals, authorities, permissions or variations to the parole order or other order or licence to be at large that have been made under Australian law]

**4 Transfer procedures etc
[Complete this section if procedures etc for the transfer are to be specified.]

*For paragraph 22 (4) (b) of the Act, I specify:
[specify any procedures for the transfer of the prisoner to the transfer country that have been agreed with the transfer country and give any necessary authorisations and directions]

Dated:

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

                         *Attorney‑General

                         *Minister for Justice
*Omit if not applicable

**Renumber heading if required

SCHEDULE
[Set out the terms on which the prisoner's
sentence of imprisonment is to be completed]

Form 6A—Warrant for transfer from Australia—prisoner serving suspended sentence

Note: See paragraph 7(c).

COMMONWEALTH OF AUSTRALIA

International Transfer of Prisoners Act 1997

WARRANT FOR TRANSFER FROM AUSTRALIA OF PRISONER SERVING SUSPENDED SENTENCE

1 Authorisation of transfer

I, [name], *Attorney‑General/*Minister for Justice of the Commonwealth of Australia, acting under section 21 of the International Transfer of Prisoners Act 1997 (the Act), authorise the transfer of [name of prisoner] (the prisoner), born on [prisoner's date of birth], who is serving the suspended part of the sentence of imprisonment, from Australia to [name of transfer country] (the transfer country) to complete the prisoner's sentence on the terms set out in the Schedule.

2 Written consent statement

For paragraph 22(2)(c) of the Act, I state that I, and the following persons and authorities, have given written consent to the transfer of the prisoner from Australia to the transfer country:
(a) *[name of prisoner]/*[name of prisoner's representative];
(b) [name of representative of appropriate authority of transfer country];
(c) [name and title of relevant State Minister].

**3 Conditions

[Complete this section if conditions are to be specified]

*For paragraph 22(4A)(a) of the Act, I specify:

[specify any conditions relating to the sentence that have been imposed under Australian law]

**4 Transfer procedures etc.

[Complete this section if procedures etc.