NOTICENOTICE

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## NOTICE This interim application has been set down for the time and place stated below. If you or your legal representative do not attend the Court at that time, the interim application may be dealt with and an order made in your absence. Time and date for hearing: \[to be entered by Registry unless fixed by Court\] Place: \[address of Court\] † The following information must appear at the foot of the first page of this application. ```html <table cellspacing="0" cellpadding="0" style="width:361.5pt; border-collapse:collapse"><tbody><tr><td colspan="5" style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Filed on behalf of (name and role of party)</td><td colspan="3" style="width:163.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"></td></tr><tr><td colspan="5" style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Prepared by (name of person/lawyer)</td><td colspan="3" style="width:163.6pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"></td></tr><tr><td colspan="3" style="width:109.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Law firm (if applicable)</td><td colspan="5" style="width:230.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"></td></tr><tr><td style="width:24.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Tel</td><td colspan="5" style="width:141.45pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"></td><td style="width:22.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Fax</td><td style="width:129.4pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"></td></tr><tr><td colspan="2" style="width:41.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Email</td><td colspan="6" style="width:298.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"></td></tr><tr><td colspan="4" style="width:122.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom">Address for service (include State and postcode)</td><td colspan="4" style="width:217.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:35.45pt"></td><td style="width:16.65pt"></td><td style="width:68.4pt"></td><td style="width:12.6pt"></td><td style="width:54pt"></td><td style="width:0.6pt"></td><td style="width:33.6pt"></td><td style="width:140.2pt"></td></tr></tbody></table> ```