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FORM A


(Rule 3)

APPLICATION FOR A REDUCTION IN THE NUMBER
OF YEARS OF IMPRISONMENT WITHOUT
ELIGIBILITY FOR PAROLE UNDER
SUBSECTION 745(1) OF THE CRIMINAL CODE

__________________________

TO: The Chief Justice of the Court of Queen's Bench
inthe Province of New Brunswick.

APPLICATION

1. I, (INSERT GIVEN NAMES, SURNAME AND ANY OTHER NAME USED BY THE APPLICANT), of (NAME AND PLACE OF INSTITUTION WHERE APPLICANT IS IMPRISONED) hereby apply for a reduction in the number of years of my imprisonment without eligibility for parole.
2. I was convicted of the offence of (SPECIFY OFFENCE INCLUDING CRIMINAL CODE SECTION) on (DATE OF CONVICTION) at (PLACE AND PROVINCE OF THE CONVICTION).
3. I was sentenced to (SPECIFY THE NUMBER OF YEARS OF IMPRISONMENT) without eligibility for parole before (SPECIFY THE LENGTH OF TIME) on (DATE OF SENTENCE).
4. I have been incarcerated for a period of______ years for that offence in the following institutions (SPECIFY THE NAME OF EACH INSTITUTION AND THE DATE OF ENTRY THEREIN).
5. The aforesaid period of incarceration includes the time that I spent in custody between the day on which I was arrested and taken into custody for that offence and the day the sentence was imposed.
6. The name of the officer in charge of the institution where I am currently incarcerated is________________________________________________________________________________.
7. In support of my application I am relying on the following grounds (Specify ALL grounds PRECISELY and CONCISELY):
8. The evidence I intend to tender at the hearing of my application includes, but is not limited to, the following:
    
(HERE BRIEFLY OUTLINE THE TYPE OF EVIDENCE THE APPLICANT WILL ADDUCE; FOR EXAMPLE, AFFIDAVIT EVIDENCE, INCLUDING NAMES OF DEPONENTS, TESTIMONY OF WITNESSES; INCLUDE NAMES OF WITNESSES, ORAL EVIDENCE OF APPLICANT)
9. My criminal record is attached and marked as Schedule "A" to this application.
10. My address for service is (INSERT COMPLETE MAILING ADDRESS).
11. (IF APPLICABLE) the name and address of my counsel is: (INSERT COMPLETE NAME AND ADDRESS OF COUNSEL).
SWORN BEFORE ME ON THE  )
_______DAY OF ____________)
19_____, AT________________)
IN THE PROVINCE OF                 )
__________________________)
 
____________________________
        (Commissioner for Oaths)
_____________________
(Signature of applicant)
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