Address The amount of $ I satisfied myself before releasing *the accused/infringement offender that he or she *and the *surety/sureties understood the nature and extent of the obligations of *the accused/infringement offender under the conditions of his or her bail and the consequences of his or her failure to comply with them. Undertaking(s) entered on 20 , at in the State of Victoria, before me— * Judge * Magistrate * Bail Justice * Prothonotary * Deputy prothonotary * Registrar of the County Court * Deputy registrar of the County Court * Registrar of the Magistrates' Court * Deputy registrar of the Magistrates' Court * A member of the Police Force *of or above the rank of Sergeant/for the time being in charge of a Police Station * The Governor of the Prison at * An officer of the prison at of or above the rank of Senior Prison Officer * The sheriff or another person authorised under section 84(5) of the Infringements Act 2006 to discharge the infringement offender from custody on bail * Delete if inapplicable. Ss 3, 4, 5 Reg. 5(b) 2 Bail Act 1977 Bail Regulations 2012
Address The amount of $ I satisfied myself before releasing *the accused/infringement offender that he or she *and the *surety/sureties understood the nature and extent of the obligations of *the accused/infringement offender under the conditions of his or her bail and the consequences of his or her failure to comply with them. Undertaking(s) entered on 20 , at in the State of Victoria, before me— * Judge * Magistrate * Bail Justice * Prothonotary * Deputy prothonotary * Registrar of the County Court * Deputy registrar of the County Court * Registrar of the Magistrates' Court * Deputy registrar of the Magistrates' Court * A member of the Police Force *of or above the rank of Sergeant/for the time being in charge of a Police Station * The Governor of the Prison at * An officer of the prison at of or above the rank of Senior Prison Officer * The sheriff or another person authorised under section 84(5) of the Infringements Act 2006 to discharge the infringement offender from custody on bail * Delete if inapplicable. Ss 3, 4, 5 Reg. 5(b) 2 Bail Act 1977 Bail Regulations 2012