the words in the body of the form from “Travelling expenses” to “to be served £ ” shall be omitted;
(2)
for the words in the body of the form from “The balance” to “is £ ” there shall be substituted the words “The balance now due [, including the costs of the hearing which you failed to attend,] is £”;
(3)
after the words in the body of the form “not included in the above, amount to £ ).” there shall be inserted the words—
“”;
(4)
the words in the instructions from “You (or your company)” to “handed to you” shall be omitted;
(5)
the words in the certificate from “, [when I paid” to “expenses of £ ]” shall be omitted.
