| 79.03 An application shall be in writing in Form 79.03A and shall contain | ||
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(a)
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the applicant's given names, surname and date of birth; | |
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(b)
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the name and place of each institution in which the applicant has been detained since the time of the applicant's arrest for the offence that is the subject of the application and the date of entry into each of those institutions; | |
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(c)
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the offence that is the subject of the application, the sentence imposed, the dates of conviction and sentencing and the place of the trial; | |
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(d)
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the applicant's number of years of imprisonment without eligibility for parole; | |
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(e)
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the applicant's criminal record; | |
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(f)
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the grounds to be relied on, stated precisely and concisely; | |
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(g)
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a statement of the relief sought; and | |
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(h)
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the applicant's address for service. | |