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J-2, r. 2
- Order number 1890 of the Minister of Justice and Attorney General concerning the Application for exemption or disqualification from jury duty or for postponement of jury duty to a later session
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chapter
J-2, r. 2
Order number 1890 of the Minister of Justice and Attorney General concerning the Application for exemption or disqualification from jury duty or for postponement of jury duty to a later session
JURORS - APPLICATION FOR EXEMPTION
Jurors Act
(chapter J-2, s. 28)
.
J-2
09
September
01
1
2012
SCHEDULE
Jury list number:
__________
Given name(s) and surname of prospective juror:
Prospective juror number: __________
________________________________________
APPLICATION FOR EXEMPTION OR DISQUALIFICATION FROM JURY DUTY OR FOR POSTPONEMENT OF JURY DUTY TO A LATER SESSION
I, the undersigned, having been duly sworn, apply for
□ disqualification from jury duty;
□ exemption from jury duty during the current session; or
□ postponement of jury duty to a later session
on the following grounds (specify the reasons for the disqualification, exemption or postponement)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_________________________________________
________________________________________
Date
SIGNATURE OF THE PROSPECTIVE JUROR
□ Sworn _____________________________________
|
IMPORTANT NOTICE
|
| |
|
THIS APPLICATION MUST BE MADE BY
|
|
REGISTERED MAIL
|
At____(city or town), on ____(date of oath) |
WITHIN 20 DAYS OF RECEIVING THIS
|
|
SUMMONS. PLEASE ATTACH ANY
|
_________________________________________ |
NECESSARY SUPPORTING DOCUMENTS
|
Name and qualification of person |
SUCH AS A DETAILED MEDICAL
|
authorized to administer oaths |
CERTIFICATE OR A BIRTH CERTIFICATE.
|
|_____________________________________|
M.O. 1890
;
I.N. 2016-01-01 (NCCP)
.
REFERENCES
M.O. 1890, 2000 G.O. 2, 1374
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