Form 3
NOTICE OF APPEAL OR APPLICATION
FOR LEAVE TO APPEAL
CROWN APPEALS AGAINST ACQUITTAL OR SENTENCE
(Paragraph 4(1)(a) and subrule 5(1))
Lower Court Registry Number: ..........................................
Lower Court Registry Location: .........................................
COURT OF APPEAL
REGINA
Respondent
vs.
................................................................
Appellant
PARTICULARS OF ACQUITTAL OR SENTENCE
1.
Place of acquittal or sentencing..........................................................................
2.
Name of judge....................................................................................................
3.
Offence(s) of which appellant convicted or acquitted, as the case may be…….
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4.
Section of Criminal Code (Canada) or other Act under which defendant was
convicted or acquitted.........................................................................................
(State here if appeal is under the Young Offenders Act, if applicable)
5.
Plea at trial..........................................................................................................
6.
Whether or not jury trial......................................................................................
7.
Length of trial......................................................................................................
8.
Sentence imposed..............................................................................................
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9.
Date of conviction or acquittal............................................................................
10.
Date of sentence................................................................................................
11.
If defendant in custody, place of incarceration...................................................
TAKE NOTICE that the appellant (strike out inapplicable provisions):
a) appeals against the acquittal of the respondent upon grounds involving
question of law alone.
b) applies for leave to appeal against sentence, and if leave be granted hereby
appeals against the sentence.
c) (other – e.g. appeals under subsection 676 (3) or (4) of the Criminal Code.)
The grounds for appeal are...........................................................................................
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(Use additional separate sheet if necessary)
The relief sought is.....................................................................................................
The appellant's address for service is ........................................................................
Dated this ......... day of .........................., 20.......
...........................................................
Solicitor on behalf of appellant
To the Registrar