* Delete if not applicable. _______________ Rule 7.05 6–7D IN THE SUPREME COURT OF VICTORIA 20 No. AT IN THE MATTER of the Surveillance Devices Act 1999 And IN THE MATTER of an application for a warrant to use a surveillance device WARRANT Form 6–7D THIS SURVEILLANCE DEVICE WARRANT is issued under the ("the by Justice [insert Surveillance Devices Act 1999 Act") name of a Judge of the Supreme Court of Victoria, upon the application dated Judge], [insert of *[name date] of law enforcement officer making the application for [rank/position of [organisation the warrant], of officer], to which officer at [name belongs] of station/address of premises at which officer being a person acting on behalf of a law works]/*[name of applicant] enforcement officer ("the applicant"). *THE APPLICATION was supported by the following affidavit or affidavits setting out the grounds on which the warrant was sought: [insert name of deponent and date of the affidavit or each affidavit relied upon]. THE JUDGE IS SATISFIED OF THE MATTERS REFERRED TO IN SECTION 17(1) OF THE ACT IN PARTICULAR— (a) that are reasonable grounds for the applicant's suspecting or believing—
* Delete if not applicable. _______________ Rule 7.05 6–7D IN THE SUPREME COURT OF VICTORIA 20 No. AT IN THE MATTER of the Surveillance Devices Act 1999 And IN THE MATTER of an application for a warrant to use a surveillance device Form 6–7D THIS SURVEILLANCE DEVICE WARRANT is issued under the Surveillance Devices Act 1999 ("the Act") by Justice [insert name of Judge], a Judge of the Supreme Court of Victoria, upon the application dated [insert date] of *[name of law enforcement officer making the application for the warrant], [rank/position of officer], of [organisation to which officer belongs] at [name of station/address of premises at which officer works]/*[name of applicant] being a person acting on behalf of a law enforcement officer ("the applicant"). *THE APPLICATION was supported by the following affidavit or affidavits setting out the grounds on which the warrant was sought: [insert name of deponent and date of the affidavit or each affidavit relied upon]. THE JUDGE IS SATISFIED OF THE MATTERS REFERRED TO IN SECTION 17(1) OF THE ACT IN PARTICULAR— (a) that are reasonable grounds for the applicant's suspecting or believing— WARRANT
08-12sr009A.docx