Document ID: chunk:federal_register_of_legislation:F2021C00429:clause:1_5:p3
Version: federal_register_of_legislation:F2021C00429
Segment Type: clause
Provision Reference: sch 1 cl 5 (pt 3/6)
Character Range: 77148–80181

10 *by              11/*by instalments of $              12;
      *(c) that the *defendant/*appellant is to pay costs of this prosecution for the *offence/*offences specified below of $              9 to              10 *by              11/ *by instalments of $              12;
      *(d) that the *defendant/*appellant is to pay to the Commonwealth a pecuniary penalty of $              9 to              13 *by               11/*by instalments of $              12;
      *(e) that the *defendant/*appellant is to comply with the following further conditions:
          (i)  14;
          (ii)  14.
This Order has been issued because:
      *(a) the appellant, 15 of 16, appealed to this court against the *sentence/*conviction and sentence imposed by the              2 Magistrates' Court on              17 in respect of the following federal *offence/*offences:
          (i)  18;
          (ii)  18; and
      *(a) the defendant, 15 of 16, was charged with the following federal *offence/*offences:
          (i)  18;
          (ii)  18; and
      (b) the court has convicted the *defendant/*appellant of the *offence/*offences; and
      (c) the court has decided to release the *defendant/*appellant without passing sentence on the *defendant/*appellant if the *defendant/*appellant complies with the conditions of this Order.
Dated 17.
19
*Judge of 1/*Magistrate/*Registrar of  1/
*Clerk of 1/*Justice of the Peace
RECOGNISANCE
I, 15, the *defendant/*appellant:
      (a) have had explained to me:
          (i) the purpose and effect of this Order; and
          (ii) the consequences that may follow if I fail, without reasonable cause or excuse, to comply with the conditions of this Order; and
          (iii) that this recognisance may be discharged or varied under section 20AA of the Crimes Act 1914; and
      (b) agree that I am bound in accordance with this Order; and
      (c) agree that I have been given a copy of this Order.
Dated 17.
20
Before me:
21
*Registrar of 1/*Clerk of 1 /*Justice of the Peace
UNDERTAKING BY *SURETY/*SURETIES
I undertake to pay to the Commonwealth of Australia the amount specified in this Order if the *defendant/*appellant fails to comply with a condition of this Order.
I agree that I have been given a copy of this Order.
First Surety: 22
   Name: 23
   Address: 24
Second Surety: 22
   Name: 23
   Address: 24

   1 insert name of court
   2 insert location of court
   3 insert State or Territory
   4 insert name of informant or appellant
   5 insert name of defendant or respondent
   6 insert amount of surety or sureties
   7 insert amount of recognisance
   8 insert period
   9 insert amount
   10 insert to whom amount is to be paid
   11 insert date by which amount must be paid
   12 insert details of instalments
   13 insert to whom penalty is to be paid
   14 insert details of further conditions, including period
   15 insert name of defendant or appellant
   16 insert address of defendant or appellant
   17 insert date
   18 insert details of offences
   19