Form 1Form 1

Form 1

(regulation 4)

COMMONWEALTH OF AUSTRALIA

International War Crimes Tribunals Act 1995

NOTICE UNDER SUBSECTION 9 (1) IN RELATION TO RECEIPT OF A SURRENDER REQUEST BY (INSERT NAME OF INTERNATIONAL WAR CRIMES TRIBUNAL)

TO a magistrate within the meaning of the International War Crimes Tribunals Act 1995 before whom the person named in this notice is brought:

On the basis of:

(a) a request made in accordance with subsection 8 (1) of the International War Crimes Tribunals Act 1995, by (insert name of the International War Crimes Tribunal) in relation to the surrender of (insert name of person); and

(b) *[an arrest warrant issued by the Tribunal in relation to that person]*[a copy of an arrest warrant authenticated by the Tribunal in relation to that person] accompanying the request;

I, ............................................................................. , Attorney‑General of the Commonwealth of Australia:

(c) enclose with this notice a copy of the arrest warrant issued by the Tribunal; and

(d) under subsection 9 (1) of the International War Crimes Tribunals Act 1995, state that a request from the Tribunal in relation to the surrender of (insert name of person) has been received.

Dated .

Attorney‑General

*Omit if inapplicable.