Form 55
APPLICATION FOR REPRESENTATION UNDER SECTION 29(3) OF THE
COMMUNITY DISPUTES RESOLUTION ACT
IN THE COMMUNITY DISPUTES RESOLUTION TRIBUNALS
Date:
_______________________________
Application No: _______________________________ (for official use only)
1.
I _________________________________________, bearing Identification Number
________________________________, the *Plaintiff / Respondent in Case No.
__________________, am applying for leave to be represented by an advocate and solicitor in
the proceedings for the following reason(s):
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2.
I *have / have not confirmed that all the parties to the proceedings agree for me to be
represented by an advocate and solicitor.
3.
The particulars of the advocate and solicitor whom I intend to instruct are:
Name of advocate and solicitor: ________________________________________________
Name of Law Firm: __________________________________________________________
Address of Law Firm: ________________________________________________________
Contact Number: ____________________________________________________________
4.
I accept that even if leave is given for an advocate and solicitor to represent me in the
proceedings, costs, other than disbursements, may not be granted to me.
________________________________
Signature of *Plaintiff / Respondent
IMPORTANT: THIS FORM MUST BE TYPE-WRITTEN.
*
Delete where inapplicable