Commonwealth of AustraliaCommonwealth of Australia

#### Commonwealth of Australia Defence Act 1903 TO each member or special member of the Australian Federal Police, each member of the police force of a State or Territory and each member of the Defence Force. WHEREAS section 116F of the Defence Act 1903 provides that where the designated authority of a country in relation to which that section applies, by writing signed by him, requests an officer authorized by the Chief of the Defence Force or a service chief, by order in writing, for the purposes of Division 3 of Part IXA of that Act for assistance in the apprehension of a member of the forces of that country, not being an Australian citizen, who is an absentee without leave from those forces, the authorized officer may, in his discretion, issue a warrant in accordance with the prescribed form authorizing a member or a special member of the Australian Federal Police or a member of the police force of a State or Territory or any member of the Defence Force to arrest that absentee: AND WHEREAS , the Chief of the Defence Force or a service chief, by order in writing dated , authorized me for the purposes of Division 3 of Part IXA of that Act: AND WHEREAS the designated authority of , a country to which section 116F of the Defence Act 1903 applies, has, by writing signed by him, made a request to me for assistance in the apprehension of a member of the forces of that country, being a person described in the Schedule, who is an absentee without leave from those forces: AND WHEREAS that person is not an Australian citizen: NOW THEREFORE I, , an officer of the Army/Air Force/Navy, by this warrant authorize you to arrest the person described in the Schedule. SCHEDULE ```html <table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; page-break-after:avoid"><span>Full name:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; page-break-after:avoid"><span>Rank:</span></p></td><td style="width:4.3%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; page-break-after:avoid"><span></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Number:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Unit or station:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Date of birth:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Citizenship:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Race:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Height:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Weight:</span></p></td><td colspan="3" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Build:</span></p></td><td colspan="3" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Complexion:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Colour of eyes:</span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Colour of hair:</span></p></td><td style="width:9.48%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="3" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p><p><span>Other distinguishing marks or features:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="3" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p><p><span>Date on which and place from which</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p><p><span>absented himself</span></p></td></tr><tr><td style="width:31.1%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>without leave:</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>Dated this</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>day of</span></p></td><td colspan="4" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span>, 19</span><span> </span><span>.</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td style="width:31.1%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p><p><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td><td colspan="5" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span></span></p></td></tr><tr><td style="width:31.1%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td colspan="7" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:6pt; text-align:center"><span>(</span><span style="font-style:italic">Signature of authorized officer</span><span>)</span></p></td></tr><tr><td style="width:31.1%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:23pt"><span></span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:23pt"><span></span></p></td><td colspan="7" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:23pt; text-align:center"><span>(Rank and appointment)</span></p></td></tr><tr style="height:0pt"><td style="width:132.6pt"></td><td style="width:23.8pt"></td><td style="width:74.1pt"></td><td style="width:60.4pt"></td><td style="width:18.35pt"></td><td style="width:37.1pt"></td><td style="width:7.95pt"></td><td style="width:15.85pt"></td><td style="width:15.8pt"></td><td style="width:40.5pt"></td></tr></tbody></table> ``` Schedule 2—Charge for each day on which member was an in‑patient at a service or Repatriation hospital in a State (subregulation 58G(4)) | Column 1 | Column2 | Column3 | Column4 | Column5 | Column6 | Column7 | Column8 | | -------- | ---------------------------------- | ------------------------- | -------------------- | --------------------- | -------------------------- | ---------------------------- | -------------------- | | Item | Period when treatment was provided | HospitalinNew South Wales | Hospital in Victoria | Hospitalin Queensland | Hospitalin South Australia | Hospitalin Western Australia | Hospital in Tasmania | | | | $ | $ | $ | $ | $ | $ | | 1 | 1 July 1975 to 30 June 1976 | 72.04 | 87.86 | 66.71 | 74.04 | 86.61 | 68.63 | | 2 | 1 July 1976 to 30 June 1977 | 88.07 | 121.50 | 82.25 | 90.18 | 82.08 | 82.70 | | 3 | 1 July 1977 to 30 June 1978 | 112.84 | 141.50 | 100.12 | 108.65 | 100.06 | 93.95 | | 4 | 1 July 1978 to 30 June 1979 | 136.22 | 134.92 | 116.02 | 122.27 | 117.96 | 102.41 | | 5 | 1 July 1979 to 30 June 1980 | 144.04 | 142.07 | 125.26 | 132.52 | 124.65 | 113.60 | | 6 | 1 July 1980 to 30 June 1981 | 157.66 | 162.48 | 136.83 | 145.45 | 134.60 | 128.68 | | 7 | 1 July 1981 to 30 June 1982 | 174.50 | 188.65 | 156.62 | 166.46 | 156.70 | 162.08 | | 8 | 1 July 1982 to 30 June 1983 | 219.83 | 213.10 | 176.83 | 180.97 | 183.88 | 165.86 | | 9 | 1 July 1983 to 30 June 1984 | 237.00 | 230.83 | 203.74 | 210.81 | 201.35 | 190.94 | | 10 | 1 July 1984 to 30 June 1985 | 276.12 | 264.85 | 223.53 | 239.41 | 212.42 | 210.55 | | 11 | 1 July 1985 to 30 June 1986 | 290.26 | 281.27 | 233.58 | 253.37 | 221.62 | 218.47 | | 12 | On or after1 July 1986 | 340.00 | 375.00 | 277.50 | 282.50 | 260.00 | 272.50 | Schedule 3—Defence honours and awards (regulations 93B and 93C)