FORM H(Rule 23(8))

20.... No.

In the Supreme Court of Newfoundland and Labrador — Court of appeal

IN THE MATTER OF an Appeal by

(name of appellant) from a conviction

and (or) sentence entre against him (her)

by Judge,

on , 20 , for a

breach of section of the

Criminal Code or section

of the Young Offenders Act

AND IN THE MATTER OF an application

by for bail

pending appeal pursuant to subsection 679(3)

of the Criminal Code


(Name of Appellant)




as represented by the Attorney General


Notice to Release from Custody

An order has been made to allow the release of (name of appellant) from custody pending appeal, on the following terms and conditions:

Note: List terms and conditions.

Therefore, pursuant to the provisions of the Criminal Code of Canada, I hereby notify and direct you that has the right to be released from custody pending appeal (unless he or she is detained for some reason other than the sentence imposed in relation to the subject of the appeal).

Dated at St. John’s, Newfoundland and Labrador, this day of , 20 .

(Deputy Registrar)

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