Version 1 Form 45 QUEENSLAND Corrective Services Act 2006 (s. 96A) MUTUAL ASSISTANCE APPROVAL Prisoner: [name of prisoner] Date of Birth: [insert DOB] Identification Number: [insert ID number] The Commonwealth Attorney-General has requested that the above named prisoner *provide evidence at a criminal proceeding/give assistance in a criminal investigation in a Foreign Country (insert name of foreign country) under the Mutual Assistance in Criminal Matters Act 1987 (Cwth). Approval is granted to the above named prisoner to travel to the Foreign Country from [insert time leave commences] on [insert date leave commences] until no longer required to provide evidence or assistance. The granting of this approval is subject to the conditions that the prisoner— (a) (b) (c) (d) (e) (f) (f) (g) not commit an offence; be of good behaviour and conduct during the period of the approval; remain in the custody of the escorting officer appointed by the Commonwealth AttorneyGeneral while travelling to and from the Foreign country; carry out the lawful instructions of an escorting officer appointed by the Commonwealth Attorney-General; comply with the arrangements made by the Commonwealth Attorney-General for the keeping of the prisoner in custody in the Foreign Country; comply with the arrangements made by the Foreign Country for the transfer of the prisoner to attend court proceedings or give assistance in a criminal investigation; remain in the Foreign Country only for such time as is reasonably necessary (if applicable, insert any other condition that, in the opinion of the chief executive/delegate, is considered to be reasonable.). Signature: ................................ [insert chief executive or delegate] Date: [insert date order signed] NOTE: A prisoner who fails, without reasonable excuse, to comply with any conditions of a mutual assistance approval is guilty of an offence and liable to imprisonment for a term not exceeding 6 months. * Delete whichever is inapplicable + Insert if applicable