SUMMONS FOR EXAMINATION†SUMMONS FOR EXAMINATION†

SUMMONS FOR EXAMINATION†

IN THE [name of Court]

REGISTRY: [name of Registry]

GENERAL DIVISION

No. of \[year\]
IN THE MATTER OF \[name of debtor or bankrupt estate\]
\[name of applicant(s)\]
Applicant(s)
\[name of respondent(s)\]
Respondent(s)
Time and date for examination: \[to be inserted by Registry\]
Place: \[address of Court\]
TO: \[name and address of person summoned\]
1. You are required to attend before \*the Court/\*a Registrar/\*a magistrate at the time, date and place stated above to be examined on oath under \*section 50/\*section 81 of the Bankruptcy Act 1966 and to give evidence in relation to the examinable affairs of \[name of bankrupt or debtor\].
2. You are also required to attend at any time, date and place to which the examination is adjourned if you have been given written notice of that time, date and place.

† The following information must appear at the foot of the first page of this summons.

<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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Filed on behalf of</span><span style="font-size:10pt; font-style:italic"> </span><span style="font-size:10pt">(name and role of party)</span></p></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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:9pt"></span></p></td></tr><tr><td colspan="5" style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Prepared by (name of person/lawyer)</span></p></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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td colspan="3" style="width:109.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Law firm (if applicable)</span></p></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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td style="width:24.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Tel</span></p></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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td><td style="width:22.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Fax</span></p></td><td style="width:129.4pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td colspan="2" style="width:41.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Email</span></p></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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td colspan="4" style="width:122.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-left:1.7pt; margin-bottom:2pt"><span style="font-size:10pt; font-weight:bold">Address for service</span><br><span style="font-size:10pt">(include State and postcode)</span></p></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"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></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>