Form 34 ORDER REVOKING RESTRAINING ORDER Magistrates Court of South Australia Criminal Procedure Act 1921 Section 99F Registry File No Street Telephone Facsimile Address City/Town/Suburb State Postcode Email Address Defendant DOB Name Surname Given name/s dd/mm/yyyy Street Telephone Address City/Town/Suburb State Postcode Email Address Applicant Name Surname Given name/s Applicant’s reference Rank ID No Street Address City/Town/Suburb State Postcode Email Address Date of original order: Order: Date order revoked: The defendant was present in Court when the order was varied. Date Proof of Service
Form 34 ORDER REVOKING RESTRAINING ORDER Magistrates Court of South Australia Criminal Procedure Act 1921 Section 99F Registry File No Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Defendant Name DOB Surname Given name/s dd/mm/yyyy Address Street Telephone City/Town/Suburb State Postcode Email Address Applicant Name Surname Given name/s Applicant’s reference Rank ID No Address Street City/Town/Suburb State Postcode Email Address Date of original order: Order: Date order revoked: The defendant was present in Court when the order was varied. Date Proof of Service