Regulation (Full Under what State Act No. Ref.) law? Commonwealth Regulation Other— specify Are there more No Yes—see 2 charges? Type of offence Summary offence Indictable offence Request for No Yes committal proceeding 2. What is the charge? (Description of offence) Section or Act or Clause State Act Regulation (Full Under what No. Ref.) law? Commonwealth Regulation Other— specify Are there more No Yes—see charges? "Continuation of Charges" attached Type of offence Summary offence Indictable offence
Under what law? State Act Regulation No. (Full Ref.) Commonwealth Regulation Other— specify Are there more charges? No Yes—see 2 Type of offence Summary offence Indictable offence Request for committal proceeding No Yes 2. What is the charge? (Description of offence) Act or Section or Clause Under what law? State Act Regulation No. (Full Ref.) Commonwealth Regulation Other— specify Are there more charges? No Yes—see "Continuation of Charges" attached Type of offence Summary offence Indictable offence
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