Paragraph 5
That the applicant has served a copy of this application on the Crown Agent.
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MAY IT THEREFORE please your Lordships under section 303A of the Criminal Procedure (Scotland) Act 1995 to authorise the applicant to institute any appeal in relation to that conviction which [C.D.] could have instituted [or to continue the appeal instituted by [C.D.]].
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ACCORDING TO JUSTICE, etc.
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(Signed)
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[Solicitor for applicant]
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(Address and telephone number of solicitor)