Form 30	Magistrates Court—notice to witness—witness recognisance to appear
Magistrates Court Act 1930
(see s 68 (Orders following executed warrant), s 76 (Witnesses may be discharged on recognisance), s 77 (Recognisances))

In the Magistrates Court of the Australian Capital Territory
Criminal jurisdiction

No CC	 	 of (year) (Court to complete)

(name of informant)
and 

(name of accused person)

To:	(name of witness)
	(address of witness)
	(date of birth of witness)

You *[attended/were brought before] the Magistrates Court, Knowles Place, Canberra City ACT to give evidence in this matter on (date) at (time).  As the matter has been adjourned to a later hearing you are released from this attendance subject to the following *[condition/conditions]:

1	You undertake to attend the Magistrates Court, Knowles Place, Canberra City ACT to give evidence in this matter on (date) at (time).
2	You give security of $ (amount) which may be forfeited to the Territory if you fail to appear in accordance with your undertaking.
3	*You provide surety of $ (amount) for your appearance in accordance with your undertaking.

Failure to attend in accordance with your undertaking may result in a warrant being issued for your arrest.

(signature of magistrate/registrar)
*Magistrate/Registrar
Date:

Undertaking
Magistrates Court Act 1930
(see s 68 (Orders following executed warrant), s 76 (Witnesses may be discharged on recognisance), s 77 (Recognisances))

I (name of witness), of (address of witness), undertake to appear at the Magistrates Court, Knowles Place, Canberra City ACT on (date) at (time) in the matter of (name of informant) and (name of accused person).

I agree that $ (amount), given as security to the court, will be forfeited if I do not appear in accordance with this undertaking.

(signature of witness)
Date:
*omit if, or whichever is, inapplicable