Form 3—Application for arrest warrantForm 3—Application for arrest warrant

Form 3—Application for arrest warrant

Commonwealth of Australia

International Criminal Court Act 2002

Application under subsection 20(3) for arrest warrant

To a magistrate:

I, [insert name of applicant and the capacity in which application is made], apply under subsection 20(3) of the International Criminal Court Act 2002 (the Act) on behalf of the International Criminal Court for issue of a warrant, according to a notice under subsection 20(1) of the Act, for the arrest and surrender of [insert name of person].

Dated

.........................................................

[Signature of the applicant and the capacity in which application is made]