# Act of Adjournal (Criminal Procedure Rules Amendment) (Restriction of Liberty Orders) 1998, Part Form 20.12A-B: Form of application under section 245E(1) of the Criminal Procedure (Scotland) Act 1995


UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE-CLERK AND LORDS COMMISSIONERS OF JUSTICIARY
[or Unto The Honourable The Sheriff of (name of sheriffdom)
At (place)]
[or Unto The Justices In The District Court Of (name of district) At (place)]
Application
by
(name of offender) (address) [or Prisoner
in the Prison of (place)]
[or name and address of applicant with responsibility for monitoring offender’s compliance with restriction of liberty order]
APPLICANT
HUMBLY SHEWETH

---
Source: https://www.legislation.gov.uk/uksi/1998/1842/schedule/part/2 (the official version)
Page: https://openlegislation.uk/act-of-adjournal-criminal-procedure-rules-amendment-restriction-of-liberty-orders-1998/schedule/part-2
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.