Document ID: chunk:federal_register_of_legislation:F2021C00429:schedule:1:p2
Version: federal_register_of_legislation:F2021C00429
Segment Type: schedule
Provision Reference: sch 1 (pt 2/4)
Character Range: 57822–60692

proceedings taken or continued for the offence about which the admission was made or for any other offence listed at the end of this document.
       6
       *7
*Director of Public Prosecutions/*A person authorised by the Director of Public Prosecutions under subsection 16BA(1) of the Crimes Act 1914/*A person appointed under section 69 of the Judiciary Act 1903
       8
Acknowledgement
I,  2, acknowledge receipt of a copy of this document.
       9
       8
Certificate
This is to certify that the court has taken into account the *offence/*offences admitted by
 2 which are numbered  10 in the list at the end of this document in respect of the *conviction/*convictions for the *offence/*offences listed in paragraph 1 above of which              2 has been convicted.
Dated 8.
 11
*Judge of 4/*Magistrate

Crimes Act 1914, section 16BA

Offences which you are believed to have committed

Item    Place where offence was committed  Date of   Brief description of offence
number                                     offence

   1 insert address
   2 insert name of defendant
   3 insert details of offences
   4 insert name of court
   5 insert number of offences listed
   6 signature of the Director of Public Prosecutions, person authorised by the Director of Public Prosecutions under subsection 16BA(1) of the Crimes Act 1914 or person appointed under section 69 of the Judiciary Act 1903
   7 insert full name of person authorised by the Director of Public Prosecutions under subsection 16BA(1) of the Crimes Act 1914 or of person appointed under section 69 of the Judiciary Act 1903
   8 insert date
   9 signature of defendant
   10 insert the number of each offence taken into account
   11 signature of judge or magistrate
   * omit if inapplicable

Form 2—Warrant authorising the detention of a person where parole or licence automatically revoked

Commonwealth of Australia

Crimes Act 1914

WARRANT UNDER SECTION 19AS AUTHORISING THE DETENTION OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of              1:
AND to the officer in charge of 2 in  1:
I, 3, *a Judge of 4/*Magistrate, under paragraph 19AS(1)(c) of the Crimes Act 1914:
      (a) authorise those members in 1 to take 5 to              2 in              1 and deliver that person to the officer in charge of that prison, together with this warrant; and
      (b) authorise the officer in charge of  2 in 1 to receive               5 into custody and detain that person to undergo imprisonment for the *term/*terms of the *sentence/*sentences of imprisonment specified in the Schedule.

This warrant is issued because 5 is a person:
      (a) who is serving or is to serve a federal sentence or sentences within the meaning of Part IB of the Crimes Act 1914; and
      (b) who was released on parole or licence