File number: FEDERAL CIRCUIT COURT OF AUSTRALIA COURT USE ONLY Court Location REGISTRY: Court date Court time NOTICE OF ADDRESS FOR SERVICE 1. Family name (surname)………………………………………………………………... Name: Given name(s)…………………………………………………………………………. 2. 3. Name of solicitor: (if applicable) ……………………………………………………………code……….……………… Address for service: ………………………………………………………………………………………… ……………………………………………………………………………… 4. Tel: Tel ( )………………………………….. Fax* ( )………………………….. DX and suburb/town: (if applicable) ……………………………………………………………………………….. Email*: ……………………………………………………………………………….. Is this the address for service of Notices for all proceedings with the above file number? Yes 5. No only the proceedings concerning (give details) Is this form giving Notice of a change legal representation? Yes No I hereby give notice that I have been appointed as the lawyer for the above named party OR I hereby give notice that I am now acting in person. * Please do not include a fax or email address unless you are willing to receive documents from the Court and other parties in that way. This form can be signed by the person named in 1 or his or her lawyer Date Signature Form approved by Chief Judge pursuant to Subrule 2.04(1A) for the purpose of Subrule 6.01(1). NoticeAddressService_FCC_0313.V1