SCHEDULE(Sections 2 and 3)

FORM A(Section 2)

CANADA

PROVINCE OF NOVA SCOTIA

SUPREME COURT OF NOVA SCOTIA

(Full name of the applicant)

IN THE MATTER OF an application for a reduction in the number of years of imprisonment without eligibility for parole pursuant to subsection 745.6(1) of the Criminal Code

To the Honourable Chief Justice of the Supreme Court of Nova Scotia:

  • 1 I, (given names and surname of the applicant), born on (applicant’s date of birth) and detained at (name and place of the institution), hereby request, pursuant to section 745.6 of the Criminal Code, that the number of years of imprisonment during which I will not be eligible for parole with respect to the sentence imposed on me on (give date of sentencing) at (give place of trial) be reduced to (give number of years).

  • 2 Since my arrest for the offence referred to in paragraph 3, I have been detained in the following institutions: (Give a COMPLETE list of the names and places of the institutions in which the applicant has been detained and specify the date of entry into each of the institutions).

  • 3 The sentence referred to in paragraph 1 was imposed on me for the following offence: (Indicate the offence for which the applicant was convicted and give the date of conviction).

  • 4 In addition to the sentence referred to in paragraph 1, as of the date of this application I am also serving the following sentences (give a list of any other sentences that the applicant is serving at the time of the application, the date and place of the imposition of the sentence and the offence in respect of which the sentence was imposed).

  • 5 The sentence imposed on me was: (give a description of the sentence) and the number of years of imprisonment without eligibility for parole was set at (give number of years). (Indicate whether the sentence has been commuted and, if so, give the date of commutation).

  • 6 In support of my application, I am relying on the following grounds: (Specify ALL grounds PRECISELY and CONCISELY).

  • 7 My address for purposes of service is: (give complete address).

Filed with the prothonotary of the Supreme Court of Nova Scotia at Halifax, Nova Scotia on (give date).

(Signature of applicant)

FORM B(Section 3)

CANADA

PROVINCE OF NOVA SCOTIA

SUPREME COURT OF NOVA SCOTIA

IN THE APPLICATION OF (Full name of applicant) made pursuant to section 745.6 of the Criminal Code

AFFIDAVIT

I, the undersigned, (give full name of the applicant), detained at (name and place of the institution), in the Province of , make oath and say as follows:

  • 1 I am the applicant.

  • 2 The facts set out in the attached application are true.

(Signature of applicant)

Sworn before me on the day

of , 20,

at in the Province

of

Commissioner of Oaths
 
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