Court File No.___________

PROVINCIAL COURT
(SPECIFY COURT LOCATION) 
(Criminal Division)

BETWEEN:

HER MAJESTY THE QUEEN
(indicate whether applicant or respondent)

-and-

(SPECIFY NAME OF ACCUSED)
(indicate whether applicant or respondent)
 

NOTICE OF APPLICATION FOR ADJOURNMENT



	TAKE NOTICE that an application will be brought on _____ day, the _____ day of ______________ (specify month) 20___, at (time of day) or as soon thereafter as this application can be heard at _____________________________________ (specify address of court house and courtroom number if known), for an order granting an adjournment of the hearing scheduled to take place on _______ day, the _____ day of ____________________ (specify month) 20____ at ________________________ (specify address of court house).

	THE GROUNDS FOR THIS APPLICATION ARE:
		1.	That  
		2.	That  
		3.	Such further and other grounds as counsel may advise and this Honourable Court may permit.

	IN SUPPORT OF THIS APPLICATION, THE APPLICANT RELIES UPON THE FOLLOWING:
		1.	(Set out documents such as affidavits, transcripts etc., upon which the Applicant relies).


DATED at _________________________, this ______ day of _____________________ 20___






__________________________________________
(Signature of applicant or counsel - set out name and
address as well as telephone and fax numbers)