THE SCHEDULE
Rule 2
FORM 1
ORDER TO PRODUCE DOCUMENT, THING, DATA OR COPY
(SECTION 20)
To:  Name and address of person or financial institution.
      Whereas [a certain document or thing or a copy of a certain document or thing or certain data or a copy of certain data], namely, (state the document, thing, data or copy) is necessary for [an investigation against one (name of accused) for an offence under (state the offence)]:
or
[the trial of one (name of accused) in the State Courts, and the said [document or thing or data or copy] is in your possession]:
 
     Therefore, by virtue of the powers conferred on me by section 20 of the Criminal Procedure Code (Cap. 68), I hereby require you to [produce the aforesaid document or thing or copy or produce and authenticate the aforesaid data or copy of data] at (place) on (date) at (time);
or
give (name and rank of police officer) access to the aforesaid [document or thing or copy] on (date) at (time);
or
monitor the account of one (name of customer) in (name of financial institution) from (date) to (date) and provide to me all information relating to the transactions carried out in the account during the said period.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
Name and rank of police officer
FORM 2
ORDER TO ATTEND POLICE INVESTIGATION
(SECTION 21(1))
To:  Name and address of person.
       Whereas an investigation has been conducted into an offence (mention the offence concisely) committed at (place) on (date) and it appears that you may be acquainted with the facts and circumstances of the case.
      Therefore, by virtue of the powers conferred on me by section 21(1) of the Criminal Procedure Code (Cap. 68), I hereby require you to attend before me at (place) on (date) at (time) and to state what you know concerning the case.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
Name and rank of police officer
FORM 3
WARRANT ORDERING ATTENDANCE
BEFORE POLICE OFFICER
(SECTION 21(2))
To:  Name and address of person.
         Whereas a report has been made to me that you, the said (name of person) had failed to attend at (place) on (date) at (time) as required by an order dated (state the date) issued by (name and rank of police officer) concerning an offence (state the offence) committed at (place) on (date):
       This is to require you to attend, without fail, before the said police officer at (place) on (date) at (time) and to state what you know concerning the case and you are hereby warned that if you, without just excuse, neglect or refuse to appear on the said date and time, a warrant will be issued to compel your attendance.
 
      Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
      (Seal of Court)
FORM 4
WARRANT TO SEARCH ON
INFORMATION GIVEN OF AN OFFENCE
(SECTIONS 24 AND 26(1))
To:  The Commissioner of Police and
       (other police officers to be designated by name).
        Whereas information has been laid [or complaint has been made] before me of the commission [or suspected commission] of the offence of (mention the offence concisely), and it has been made to appear to me that the production of the articles specified in the Schedule below is essential to the inquiry now being made [or about to be made] into the said offence [or suspected offence]:
       This is to authorise and require you to search for the said articles specified in the Schedule below in the (describe the particular place or part thereof, to which the search is to be confined), and, if found, to produce the same forthwith before Court No.       at the State Courts, Singapore, and to return this warrant with an endorsement certifying what you have done under it immediately upon its execution.
        This warrant shall remain in force (state number of days) from the date of issue.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
 
The Schedule
[state the articles to be produced]
FORM 5
WARRANT TO SEARCH PLACE SUSPECTED OF
BEING USED TO CONFINE A PERSON
(SECTION 30)
To:  The Commissioner of Police
       and all other police officers in Singapore.
       Whereas I have received information and I have reason to believe that (describe the place or house) has been used to wrongfully confine one (name of person).
        This is to authorise and require you to enter the said (place or house) with such assistance as shall be required and to use, if necessary, reasonable force for that purpose and to search every part of the said (place or house) for the said (name of person) and to take into custody and bring before a Magistrate’s Court every person found in the said (place or house) who appears to have been privy to the confinement of the said (name of person) and to return this warrant immediately upon its execution with an endorsement certifying what you have done thereunder.
 
       This warrant shall remain in force for          days.
 
       Issued this               day of                      20    .
 
       Entered No.
 
 
(Seal of Court)
(Signature)
 
 
Magistrate
       Clerk
FORM 6
ORDER TO DELIVER PROPERTY
(SECTION 35(2))
To:  Name and address of financial institution.
       Whereas information has been received that certain property, in relation to which an offence (mention the offence concisely) has been (or suspected to have been) committed is held in an account (or a safe deposit box) of (state name of company or person) in your bank (or company).
       Therefore, by virtue of the powers conferred on me by section 35(2) of the Criminal Procedure Code (Cap. 68), I hereby direct you to deliver such property to (state name and rank of police officer) [or not to allow any dealings in respect of the property in the said account (or safe deposit box) for a period of (state the period) from the date of this Order].
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
Name and rank of investigation officer
 
I, (name of and position held by authorised officer) of (name of bank or company), hereby acknowledge receipt of the above Order.
 
Signature of authorised officer and date.
FORM 7
LIST OF THINGS SEIZED DURING SEARCH
(SECTION 37(1))
Name of occupier (or person in charge of place):
Place: (address where search was conducted)
Date and time of seizure:
Item No.
Description of Thing
Location found
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The abovementioned things itemised in the table above were seized by me at the place and on the date abovementioned.
 
 
 
(Signature)
 
 
Name and rank of police officer
FORM 8
BOND TO KEEP THE PEACE
(SECTIONS 41, 42 AND 43)
     Whereas I, (name and address of person), have been called upon to enter into a bond to keep the peace for the term of (state the period), I hereby bind myself not to commit a breach of the peace [or do a wrongful act that might lead to a breach of the peace] during the said term; and in case of my making default therein, I hereby bind myself to forfeit to the Government the sum of           dollars.
 
       Dated this               day of                      20    .
 
 
 
 
 
 
 
(Signature)
FORM 9
BOND FOR GOOD BEHAVIOUR
(SECTIONS 44 AND 45)
       Whereas I, (name and address of person), have been called upon to enter into a bond to be of good behaviour for the term of (state the period), I hereby bind myself to be of good behaviour during the said term; and in case of my making default therein, I hereby bind myself to forfeit to the Government the sum of                                     dollars.
 
       Dated this               day of                      20    .
 
 
 
 
 
 
 
(Signature)
 
(Where a bond with sureties is to be executed add):
We do hereby declare ourselves sureties for the abovenamed that he/she will be of good behaviour during the said term; and in case of his/her making default therein, we bind ourselves jointly and severally, to forfeit to the Government the sum of                         dollars.
 
       Dated this               day of                      20    .
 
 
 
 
(Signature(s)) of sureties
FORM 10
ORDER TO SHOW CAUSE
(SECTION 46)
To:  Name and address of person to show cause.
        Whereas information has been received by Court No.          at the State Courts, (address), that (set out the substance of the information received).
       It is hereby ordered that you attend this Court on (date) at (time) to show cause why you should not be ordered to execute a bond for your good behaviour in the sum of                               dollars to be in force for the term of             months with sufficient sureties being (here state number, character and class of sureties required).
 
       Dated this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
      (Seal of Court)
FORM 11
SUMMONS ON INFORMATION OF
A PROBABLE BREACH OF THE PEACE
(SECTION 47(2))
To:  Name and address of person.
     Whereas credible information has been laid before me that (set out the substance of the information), and that you are likely to commit a breach of the peace [or by which act a breach of the peace will probably be occasioned], you are hereby required to attend in person [or by advocate] before Court No.           at the State Courts, Singapore, on (date) at (time) to show cause why you should not be required to enter into a bond for                                dollars (when sureties are required, add: and also to give security by the bond of one [or 2, as the case may be] surety [or sureties]) in the sum of                                  dollars (each, if more than one), that you will keep the peace for the term of       months from (state the period).
 
       Issued this               day of                      20   .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
FORM 12
WARRANT OF COMMITMENT ON FAILURE
TO FIND SECURITY TO KEEP THE PEACE
(SECTION 54)
To:  The Director of Prisons.
       Whereas (name and address of person) appeared before me in person [or by his/her advocate] on the               day of                               20       in obedience to a summons calling upon him/her to show cause why he/she should not enter into a bond for                           dollars with one surety [or a bond with 2 sureties each in                              dollars], that he/she the said (name of person) would keep the peace for the period of (state the period), and whereas an order was then made requiring the said (name of person) to enter into and find such security (state the security ordered when it differs from that mentioned in the summons), and he/she has failed to comply with the said order:
        This is to authorise and require you the said officer to receive the said (name of person) into your custody, together with this warrant, and to keep him/her safely in prison for the said period of (term of imprisonment) unless in the meantime, he/she complies with the said order by himself/herself and his/her surety [or sureties] entering into the said bond, in which case the same shall be received, and the said (name of person) released; and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
      (Seal of Court)
FORM 13
WARRANT OF COMMITMENT ON FAILURE
TO FIND SECURITY FOR GOOD BEHAVIOUR
(SECTION 54)
To:  The Director of Prisons.
       Whereas it has been made to appear to me that (name of person) has been and is lurking within Singapore having no ostensible means of subsistence [or state any of the grounds on which a Court has ordered the person to execute a bond for good behaviour]:
or
      Whereas evidence of the general character of (name of person) has been adduced before me and recorded from which it appears that he/she is a habitual robber [or house‑breaker, etc. (as the case may be)]:
       And whereas an order has been recorded stating the same and requiring the said (name of person) to furnish security for his/her good behaviour for the term of (state the period) by entering into a bond with one surety [or 2 or more sureties (as the case may be)], himself/herself for                           dollars, and the said surety [or each of the sureties] for                           dollars, and the said (name of person) has failed to comply with the said order, and for such default has been adjudged imprisonment for (state the term) unless the said security be furnished earlier:
        This is to authorise and require you the said officer to receive the said (name of person) into your custody, together with this warrant, and to keep in prison for the said period of (term of imprisonment) unless in the meantime, he/she complies with the said order by himself/herself and his/her surety [or sureties] entering into the said bond, in which case the same shall be received and the said (name of person) released; and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 14
WARRANT TO RELEASE A PERSON IMPRISONED
ON FAILURE TO GIVE SECURITY
(SECTION 55(1))
To:  The Director of Prisons.
        Whereas (name of prisoner) was committed to your custody under warrant of this Court, dated the          day of                         20    , and has since duly given security under section [mention the section] of the Criminal Procedure Code (Cap. 68):
or
and there have appeared to me sufficient grounds for the opinion that he/she can be released without danger to the community or to another person:
       This is to authorise and require you forthwith to release the said (name of prisoner) from your custody, unless he/she is liable to be detained for some other cause.
 
       Issued this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 15
WARRANT TO BRING UP PERSON ON BOND
(SECTION 56(2))
To:  The Commissioner of Police
       and all other police officers of Singapore.
       Whereas (name and address of person) has executed a bond with surety [or sureties] that he/she shall keep the peace [or be of good behaviour] for the term of                   months from (state the period); and that one (name of surety) has applied to this Court to cancel the bond signed by him/her in his/her capacity as the surety [or one of the sureties]:
       This is to authorise and require you to arrest the said (name of person) and to bring him/her before Court No.           at the State Courts, 1 Havelock Square, Singapore on (date) at (time) to provide adequate security for the remaining term of the bond.
 
       Issued this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
FORM 16
BOND AND BAIL BOND AFTER ARREST
(SECTIONS 65, 92, 93, 94 AND 99)
       I, (name and address of accused), having been arrested without warrant for an offence (mention the offence concisely) and required to enter into a bond for my attendance before Court No.           at the State Courts, 1 Havelock Square, Singapore on (date) at (time) in regard to the said charge, subject to the following conditions:
(a)   
(b)   
(c)   
(d)   
and in case of my making default herein I bind myself to forfeit to the Government the sum of                                 dollars.
 
 
 
 
 
 
(Signature)
 
       *I/We, (name),
of (address)
and (name)
of (address)                                                                                           do hereby
declare of the abovenamed (name of accused)
of (address)                                                           that he/she shall attend before the said Court on (date) at (time) and thereafter as may be directed by a Court until all proceedings relating to the said charge(s) have been disposed of, and in case of his/her making default therein, *I/we hereby bind myself/ourselves jointly and severally to forfeit to the Government the sum of                    dollars.
 
 
 
 
 
 
(Signature(s))
 
 
       Dated this               day of                      20    .
 
 
 
 
 
Acknowledged before me
 
 
(Signature)
 
 
District Judge
Magistrate
 
Interpreted, read over and
explained by
FORM 17
WARRANT OF ARREST
(SECTIONS 71, 72 AND 226)
To:  The Commissioner of Police/Head or Director of any law enforcement
       agency or any person of a similar rank in such law enforcement agency.
        Whereas (name of accused) stands charged with the offence of (mention the offence concisely), you are directed to arrest the said (name of accused) and to produce him/her before Court No.       at the State Courts, (address).
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
 
       This warrant may be endorsed as follows:
If the said                                                   shall give bail himself/herself in the sum of                                 dollars with one surety in the sum of                                         dollars [or 2 sureties each in the sum of                                     dollars], to attend before the Court on the              day of                                         20     at     a.m./p.m. and to continue to attend as thereafter directed by a Court, he/she may be released.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
FORM 18
PROCLAMATION REQUIRING THE ATTENDANCE OF
PERSON ABSCONDING
(SECTION 88)
       Whereas a warrant of arrest has been issued by this Court for the apprehension of one (name of accused) who has committed [or is suspected to have committed] the offence of (mention the offence concisely) and to produce him/her before me to answer the charge against him/her pending before this Court; and whereas it appears that the warrant cannot be served on the said (name of accused), and it has been shown to my satisfaction that he/she has absconded [or is concealing himself/herself to avoid the service of the said warrant, as the case may be]:
      Proclamation is hereby made that the said (name of accused) is required to appear before Court No.            at the State Courts, (address) on (date) at (time).
 
      Dated this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
      (Seal of Court)
FORM 19
ORDER OF ATTACHMENT OF PROPERTY OF
PERSON PROCLAIMED
(SECTION 89)
To:  The police officer in charge of the                                         police station.
       Whereas a warrant of arrest has been issued by this Court for the apprehension of one (name of accused) who has committed [or is suspected to have committed] the offence of (mention the offence concisely) and to produce him/her before me to answer to the charge pending before this Court; and whereas it appears that the warrant cannot be served on the said (name of accused), and it has been shown to the satisfaction of the Court that he/she has absconded [or is concealing himself/herself to avoid the service of the said warrant, as the case may be]; and thereupon a proclamation was duly issued and published requiring the said (name of accused) to appear and answer the charge at the time and place mentioned therein, and he/she has failed to appear:
       This is to authorise and require you to attach by seizure, the movable property belonging to the said (name of accused) to the value of                               dollars and to hold the said property under attachment pending the further order of this Court, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Dated this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 20
WARRANT TO BRING UP PRISONER
(SECTION 98)
To:  The Director of Prisons.
       You are hereby required to have (name of prisoner), now a prisoner in the (name of prison) conveyed under safe custody before the General Division of the High Court on (date) at (time) for the purpose of being bailed [or released on personal bond] and unless the said (name of prisoner) is then and there bailed [or released on personal bond] and ordered to be released from custody by the General Division of the High Court, cause him/her to be conveyed under safe custody back to the said prison, after the General Division of the High Court has dispensed with his/her further attendance.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
Registrar
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]
FORM 21
WARRANT OF RELEASE OF A PERSON IMPRISONED
FOR FAILURE TO GIVE SECURITY
(SECTION 100)
To:  The Director of Prisons.
          Whereas (name of prisoner) was committed to your custody under warrant of this Court, dated the           day of           20        , and has since with his/her surety [or sureties] duly executed a bond under section 99 of the Criminal Procedure Code (Cap. 68):
       This is to authorise and require you forthwith to release the said (name of prisoner) from your custody, unless he/she is liable to be detained for some other matter.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 22
WARRANT OF REMAND
(SECTION 103)
To:  The Director of Prisons.
      Whereas (name of accused) was arrested and this day brought before this Court for having committed a breach of the bond entered by him/her on the                          day of                     20      that he/she shall surrender to the custody of the Court [or police],
or
that he/she shall make himself/herself available for investigations by the police,
or
that he/she shall make himself/herself available to attend Court,
in regard to the charge made against him/her but did not do so:
      This is to authorise and require you, the said officer, to receive (name of accused) into your custody, together with this warrant, and to keep him/her safely in prison until (date) when you shall cause him/her to be brought before the said Court at (time) of the said day unless you are otherwise ordered in the meantime.
 
       Issued this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge, Magistrate or Registrar
       (Seal of Court)
FORM 23
BOND AND BAIL BOND AFTER ARREST
(SECTION 103)
       I, (name and address of accused), having been arrested without warrant for having committed a breach of the bond entered by me on the               day of                                             20     to surrender to the custody of the Court [or police],
or
to make myself available for investigations by the police [or to attend Court],
and being required to enter into a bond for my attendance at Court No.       of the State Courts, 1 Havelock Square, Singapore [or at (name of police station)] on (date) at (time) in regard to the charge (mention the offence committed), subject to the following conditions:
(a)   
(b)   
(c)   
(d)   
and in case of my making default herein I bind myself to forfeit to the Government the sum of                      dollars.
 
 
 
 
(Signature)
       *I/We, (name),                                                                                
of (address)                                                                                       
and (name)                                                                                       
of (address)                                                                                      
do hereby declare of the abovenamed (name of accused) of                                                                                    (address)                                                      that he/she shall attend before the said Court [or at the said police station] at              a.m./p.m. on the               day of                                         20          and thereafter as may be directed by a Court [or police officer] until all proceedings relating to the said charge(s) have been disposed of, and in case of his/her making default therein, *I/we hereby bind myself/ourselves jointly and severally to forfeit to the Government the sum of                               dollars.
 
 
 
 
(Signature(s))
 
       Dated this               day of                     20    .
 
 
 
 
Acknowledged before me
 
 
 
(Signature)
 
 
 
District Judge, Magistrate or Police Officer
 
Interpreted, read over and
explained by
FORM 23A
SUMMONS TO ACCUSED PERSON ON
BREACH OF PERSONAL BOND
(SECTIONS 107 AND 107A)
To:  Name and address of accused.
     Whereas on the                  day of                       20    you entered into a bond to surrender to the custody of the Court [or police] [or make yourself available for investigations by the police] [or attend Court] on (date) at (time), and bound yourself in default thereof to forfeit the amount of            dollars to the Government; and whereas on (date) at (time) you have failed, without reasonable excuse, to comply with that duty, and the bond is forfeited [as far as it relates to you] by such default:
      You are hereby called upon to pay the said amount of             dollars, or to appear before this Court on (date) at (time) to explain why payment of the whole or any part of said amount should not be enforced against you.
 
       Dated this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 24
SUMMONS TO SURETY ON
BREACH BY ACCUSED PERSON
(SECTION 107A)
To:  Name and address of surety.
        Whereas on the           day of              20      you became surety for (name and address of accused) that he/she should surrender to the custody of the Court [or police] [or make himself/herself available for investigations by the police] [or attend Court] on (date) at (time), and bound yourself in default thereof to forfeit the amount of            dollars to the Government, and whereas (name of accused) has failed, without reasonable excuse, to comply with that duty, and by reason of such default you are liable to forfeit the said amount of            dollars:
        You are hereby required to appear before this Court on (date) at (time) to explain why the bond, as far as it relates to you, should not be forfeited, and why payment of the whole or any part of the said amount should not be enforced against you.
 
       Dated this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 25
ORDER OF ATTACHMENT AND SALE OF PROPERTY
TO ENFORCE BOND AGAINST ACCUSED PERSON
(SECTIONS 107 AND 107A)
To:
     Whereas (name and address of accused) has failed, without reasonable excuse, to surrender to the custody of the Court [or police] [or make himself/herself available for investigations by the police] [or attend Court] on (date) at (time), pursuant to a bond executed by him/her, and the bond has been forfeited [as far as it relates to him/her] by such default; and whereas (name of accused) has failed, when called upon by the Court, to pay in full the sum of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be paid) or explain adequately why payment of that sum should not be enforced against him/her:
      This is to authorise and require you to attach by seizure and detention any property belonging to the said (name of accused) that you may find within Singapore to the amount of                 dollars (the amount unpaid); and if the said amount is not paid within (state period), to sell the property so attached, or so much of it as may be sufficient to realise the said amount; and to make return of what you have done under this warrant immediately upon its execution.
 
       Dated this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 26
ORDER OF ATTACHMENT AND SALE OF PROPERTY
TO ENFORCE BOND AGAINST SURETY
(SECTION 107A)
To:
      Whereas (name and address of accused) has failed, without reasonable excuse, to surrender to the custody of the Court [or police] [or make himself/herself available for investigations by the police] [or attend Court] on (date) at (time), pursuant to a bond executed by him/her with (name of surety) as surety, and the bond has been forfeited, as far as it relates to (name of accused), by such default; and whereas (name of surety) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited, and the Court is satisfied that he/she is in breach of his/her duty to (state applicable duty in section 104); and whereas (name of surety) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the surety) and has failed to pay in full that amount:
      This is to authorise and require you to attach by seizure and detention any property belonging to the said (name of surety) that you may find within Singapore to the amount of                 dollars (the amount unpaid); and if the said amount is not paid within (state period), to sell the property so attached, or so much of it as may be sufficient to realise the said amount; and to make return of what you have done under this warrant immediately upon its execution.
 
       Dated this               day of                      20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 27
WARRANT OF COMMITMENT OF
ACCUSED PERSON TO ENFORCE PERSONAL BOND
(SECTIONS 107 AND 107A)
To:  The Commissioner of Prisons.
     Whereas (name and address of accused) has failed, without reasonable excuse, to surrender to the custody of the Court [or police] [or make himself/herself available for investigations by the police] [or attend Court] on (date) at (time), pursuant to a bond executed by him/her, and the bond has been forfeited, as far as it relates to him/her, by such default; and whereas (name of accused) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited; and whereas (name of accused) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the accused) and has failed to pay in full that amount [or the amount of                 dollars (the unpaid amount) cannot be recovered by attachment and sale of his/her property], and an order has been made for his/her imprisonment in the (state the prison) for the period of (term of imprisonment):
      This is to authorise and require you, the said officer, to receive the said (name of accused) into your custody with this warrant, and to keep him/her safely in the said prison for the said period, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 27A
WARRANT OF COMMITMENT OF SURETY OF
ACCUSED PERSON ADMITTED TO BAIL
(SECTION 107A)
To:  The Commissioner of Prisons.
     Whereas (name and address of accused) has failed, without reasonable excuse, to surrender to the custody of the Court [or police] [or make himself/herself available for investigations by the police] [or attend Court] on (date) at (time), pursuant to a bond executed by him/her with (name of surety) as surety, and the bond has been forfeited, as far as it relates to (name of accused), by such default; and whereas (name of surety) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited, and the Court is satisfied that he/she is in breach of his/her duty to (state applicable duty in section 104); and whereas (name of surety) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the surety) and has failed to pay in full that amount [or the amount of                 dollars (the unpaid amount) cannot be recovered by attachment and sale of his/her property], and an order has been made for his/her imprisonment in the (state the prison) for the period of (term of imprisonment):
      This is to authorise and require you, the said officer, to receive the said (name of surety) into your custody with this warrant, and to keep him/her safely in the said prison for the said period, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 28
SUMMONS TO PRINCIPAL ON FORFEITURE OF
BOND TO KEEP THE PEACE
(SECTIONS 107 AND 107A)
To:  (name and address of principal).
       Whereas on the                      day of                           20    you entered into a bond to keep the peace for a period of (duration of bond), and bound yourself in default thereof to forfeit the amount of            dollars to the Government; and whereas on (date) at (time) you have failed, without reasonable excuse, to keep the peace, and the bond is forfeited [as far as it relates to you] by such default:
       You are hereby called upon to pay the said amount of             dollars, or to appear before this Court on (date) at (time) to explain why payment of the whole or any part of said amount should not be enforced against you.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 29
SUMMONS TO SURETY ON FORFEITURE OF
BOND TO KEEP THE PEACE
(SECTION 107A)
To:  (name and address of surety).
       Whereas on the                      day of                           20    you became surety to a bond for (name and address of principal) to keep the peace for a period of (duration of bond), and bound yourself in default thereof to forfeit the amount of            dollars to the Government; and whereas, on (date) at (time), (name of principal) failed, without reasonable excuse, to keep the peace, and the bond is forfeited, as far as it relates to him/her, by such default:
       You are hereby called upon to appear before this Court on (date) at (time) to explain why the bond, as far as it relates to you, should not be forfeited, and why payment of the whole or any part of the said amount should not be enforced against you.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 30
ORDER OF ATTACHMENT AND SALE OF PROPERTY
TO ENFORCE BOND TO KEEP THE PEACE AGAINST PRINCIPAL
(SECTIONS 107 AND 107A)
To:
       Whereas (name of principal) did on the             day of                20    enter into a bond for the sum of                  dollars, binding himself/herself to keep the peace for a period of (duration of bond); and whereas on (date) at (time) he/she failed, without reasonable excuse, to keep the peace, and the bond is forfeited [as far as it relates to him/her] by such default; and whereas (name of principal) has failed, when called upon by the Court, to pay in full the sum of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be paid) or explain adequately why payment of that sum should not be enforced against him/her:
      This is to authorise and require you to attach by seizure and detention any property belonging to the said (name of principal) that you may find within Singapore to the amount of                 dollars (the amount unpaid); and if the said amount is not paid within (state period), to sell the property so attached, or so much of it as may be sufficient to realise the said amount; and to make return of what you have done under this warrant immediately upon its execution.
 
      Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
      Entered No.
(Seal of Court)
      Clerk
[S 446/2019 wef 21/06/2019]
FORM 31
ORDER OF ATTACHMENT AND SALE OF PROPERTY
TO ENFORCE BOND TO KEEP THE PEACE AGAINST SURETY
(SECTION 107A)
To:
       Whereas (name of surety) did on the             day of                20    become surety to a bond for (name and address of principal) to keep the peace for a period of (duration of bond), binding himself/herself in default thereof to forfeit the amount of                  dollars to the Government; and whereas on (date) at (time) (name of principal) failed, without reasonable excuse, to keep the peace, and the bond is forfeited, as far as it relates to (name of principal) by such default; and whereas (name of surety) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited, and the Court is satisfied that he/she has failed, without reasonable excuse, to ensure that (name of principal) keeps the peace; and whereas (name of surety) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the surety) and has failed to pay in full that amount:
      This is to authorise and require you to attach by seizure and detention any property belonging to the said (name of surety) that you may find within Singapore to the amount of                 dollars (the amount unpaid); and if the said amount is not paid within (state period), to sell the property so attached, or so much of it as may be sufficient to realise the said amount; and to make return of what you have done under this warrant immediately upon its execution.
 
      Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
      Entered No.
(Seal of Court)
      Clerk
[S 446/2019 wef 21/06/2019]
FORM 31A
WARRANT OF COMMITMENT OF PRINCIPAL
TO ENFORCE BOND TO KEEP THE PEACE
(SECTIONS 107 AND 107A)
To:  The Commissioner of Prisons.
     Whereas (name and address of principal) has failed, without reasonable excuse, to keep the peace pursuant to a bond executed by him/her, and the bond has been forfeited, as far as it relates to him/her, by such default; and whereas (name of principal) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited; and whereas (name of principal) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the principal) and has failed to pay in full that amount [or the amount of                 dollars (the unpaid amount) cannot be recovered by attachment and sale of his/her property], and an order has been made for his/her imprisonment in the (state the prison) for the period of (term of imprisonment):
      This is to authorise and require you, the said officer, to receive the said (name of principal) into your custody with this warrant, and to keep him/her safely in the said prison for the said period, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 31B
WARRANT OF COMMITMENT OF SURETY
TO ENFORCE BOND TO KEEP THE PEACE
(SECTION 107A)
To:  The Commissioner of Prisons.
     Whereas (name and address of principal) has failed, without reasonable excuse, to keep the peace pursuant to a bond executed by him/her with (name of surety) as surety, and the bond has been forfeited, as far as it relates to (name of principal), by such default; and whereas (name of surety) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited, and the Court is satisfied that he/she has failed, without reasonable excuse, to ensure that (name of principal) keeps the peace; and whereas (name of surety) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the surety) and has failed to pay in full that amount [or the amount of                 dollars (the unpaid amount) cannot be recovered by attachment and sale of his/her property], and an order has been made for his/her imprisonment in the (state the prison) for the period of (term of imprisonment):
      This is to authorise and require you, the said officer, to receive the said (name of surety) into your custody with this warrant, and to keep him/her safely in the said prison for the said period, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 32
SUMMONS TO PRINCIPAL ON FORFEITURE OF
BOND FOR GOOD BEHAVIOUR
(SECTIONS 107 AND 107A)
To:  (name and address of principal).
       Whereas on the                      day of                           20    you entered into a bond to be of good behaviour for a period of (duration of bond), and bound yourself in default thereof to forfeit the amount of            dollars to the Government; and whereas on (date) at (time) you have failed to be of good behaviour, and the bond is forfeited [as far as it relates to you] by such default:
       You are hereby called upon to pay the said amount of             dollars, or to appear before this Court on (date) at (time) to explain why payment of the whole or any part of said amount should not be enforced against you.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 33
SUMMONS TO SURETY ON FORFEITURE OF
BOND FOR GOOD BEHAVIOUR
(SECTION 107A)
To:  (name and address of surety).
       Whereas on the                      day of                           20    you became surety to a bond for (name and address of principal) to be of good behaviour for a period of (duration of bond), and bound yourself in default thereof to forfeit the amount of            dollars to the Government; and whereas, on (date) at (time), (name of principal) failed to be of good behaviour, and the bond is forfeited, as far as it relates to him/her, by such default:
       You are hereby called upon to appear before this Court on (date) at (time) to explain why the bond, as far as it relates to you, should not be forfeited, and why payment of the whole or any part of the said amount should not be enforced against you.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 34
ORDER OF ATTACHMENT AND SALE OF PROPERTY
TO ENFORCE BOND FOR GOOD BEHAVIOUR AGAINST PRINCIPAL
(SECTIONS 107 AND 107A)
To:
       Whereas (name of principal) did on the             day of                20    enter into a bond for the sum of                  dollars, binding himself/herself to be of good behaviour for a period of (duration of bond); and whereas on (date) at (time) he/she failed to be of good behaviour, and the bond is forfeited [as far as it relates to him/her] by such default; and whereas (name of principal) has failed, when called upon by the Court, to pay in full the sum of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be paid) or explain adequately why payment of that sum should not be enforced against him/her:
      This is to authorise and require you to attach by seizure and detention any property belonging to the said (name of principal) that you may find within Singapore to the amount of                 dollars (the amount unpaid); and if the said amount is not paid within (state period), to sell the property so attached, or so much of it as may be sufficient to realise the said amount; and to make return of what you have done under this warrant immediately upon its execution.
 
      Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
      Entered No.
(Seal of Court)
      Clerk
[S 446/2019 wef 21/06/2019]
FORM 35
ORDER OF ATTACHMENT AND SALE OF PROPERTY
TO ENFORCE BOND FOR GOOD BEHAVIOUR AGAINST SURETY
(SECTION 107A)
To:
       Whereas (name of surety) did on the             day of                20    become surety to a bond for (name and address of principal) to be of good behaviour for a period of (duration of bond), binding himself/herself in default thereof to forfeit the amount of                  dollars to the Government; and whereas on (date) at (time) (name of principal) failed to be of good behaviour, and the bond is forfeited, as far as it relates to (name of principal) by such default; and whereas (name of surety) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited, and the Court is satisfied that he/she has failed, without reasonable excuse, to ensure that (name of principal) is of good behaviour; and whereas (name of surety) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the surety) and has failed to pay in full that amount:
      This is to authorise and require you to attach by seizure and detention any property belonging to the said (name of surety) that you may find within Singapore to the amount of                 dollars (the amount unpaid); and if the said amount is not paid within (state period), to sell the property so attached, or so much of it as may be sufficient to realise the said amount; and to make return of what you have done under this warrant immediately upon its execution.
 
      Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
      Entered No.
(Seal of Court)
      Clerk
[S 446/2019 wef 21/06/2019]
FORM 35A
WARRANT OF COMMITMENT OF PRINCIPAL
TO ENFORCE BOND FOR GOOD BEHAVIOUR
(SECTIONS 107 AND 107A)
To:  The Commissioner of Prisons.
     Whereas (name and address of principal) has failed to be of good behaviour pursuant to a bond executed by him/her, and the bond has been forfeited, as far as it relates to (name of principal), by such default; and whereas (name of principal) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited; and whereas (name of principal) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the principal) and has failed to pay in full that amount [or the amount of                 dollars (the unpaid amount) cannot be recovered by attachment and sale of his/her property], and an order has been made for his/her imprisonment in the (state the prison) for the period of (term of imprisonment):
      This is to authorise and require you, the said officer, to receive the said (name of principal) into your custody with this warrant, and to keep him/her safely in the said prison for the said period, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 35B
WARRANT OF COMMITMENT OF SURETY
TO ENFORCE BOND FOR GOOD BEHAVIOUR
(SECTION 107A)
To:  The Commissioner of Prisons.
     Whereas (name and address of principal) has failed to be of good behaviour pursuant to a bond executed by him/her with (name of surety) as surety, and the bond has been forfeited, as far as it relates to (name of principal), by such default; and whereas (name of surety) has failed, when called upon by the Court, to explain adequately why the bond, as far as it relates to him/her, should not be forfeited, and the Court is satisfied that he/she has failed, without reasonable excuse, to ensure that (name of principal) is of good behaviour; and whereas (name of surety) has forfeited to the Government the amount of                 dollars (the whole or part of the amount of the bond that the Court has ordered to be forfeited, as far as it relates to the surety) and has failed to pay in full that amount [or the amount of                 dollars (the unpaid amount) cannot be recovered by attachment and sale of his/her property], and an order has been made for his/her imprisonment in the (state the prison) for the period of (term of imprisonment):
      This is to authorise and require you, the said officer, to receive the said (name of surety) into your custody with this warrant, and to keep him/her safely in the said prison for the said period, and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this            day of                            20    .
 
 
(Signature)
District Judge
Magistrate
       (Seal of Court)
[S 446/2019 wef 21/06/2019]
FORM 36
NOTICE TO ATTEND COURT
(SECTION 110(1))
To:  Name, NRIC and address of person.
       Whereas your attendance is necessary to answer to the charge of [state the offence].
        You are hereby required to attend personally before Court No.          at the State Courts, (address), on (date) at (time); and you are hereby warned that if you, without just excuse, neglect or refuse to appear before the Court on the said date and time, a warrant for your arrest may be issued to compel your attendance.
 
 
 
 
 
(Signature)
 
 
Name and rank of police officer
FORM 37
BOND TO GIVE EVIDENCE
(SECTION 111)
       I, [name and address of witness], do hereby bind myself to attend at the General Division of the High Court [or State Courts] at                                                                        , on (date) at (time), and then and there to give evidence in the matter of a charge of                                                      (state the offence) against one (name of accused), and in case of my making default herein, I bind myself to forfeit to the Government the sum of                                  dollars.
 
       Dated this               day of                      20    .
 
 
 
 
 
(Signature)
[S 1048/2020 wef 02/01/2021]
FORM 38
CERTIFICATE OF SURRENDER OF TRAVEL DOCUMENT
(SECTION 112(4))
To:  The Director of Prisons.
       I, (name and rank of officer), a police officer authorised by the Commissioner of Police [or I, (name and rank of officer), Head or an authorised Director of (state name of law enforcement agency)], hereby certify that (name and NRIC of person), who was committed to your custody under warrant of the District Court [or Magistrate’s Court] dated the       day of                               20     for not surrendering his/her travel document, has complied with the requirements to surrender his/her travel document.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
Name and rank of officer
FORM 39
SUMMONS TO AN ACCUSED PERSON
(SECTIONS 115 AND 226)
To:  Name and address of accused.
       Whereas your attendance is necessary to answer to a charge of (state shortly the offence charged), you are hereby required to appear on (date) at (time) in person before Court No.         at the State Courts, (address).
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
FORM 40
SUMMONS TO A WITNESS
(SECTION 115)
To:  Name and address of witness.
       Whereas complaint has been made before me that (name of accused) has [or is suspected to have] committed the offence (mention the offence concisely with time and place), and it appears to me that you are likely to be able to give material evidence regarding the complaint:
       You are hereby summoned to appear before Court No.               at the State Courts, (address), on (date) at (time) to testify what you know concerning the said complaint, and not to depart from there without permission of the Court; and you are hereby warned that if you, without just excuse, neglect or refuse to appear on the said date, a warrant will be issued to compel your attendance.
 
     Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
     Entered No.
(Seal of Court)
     Clerk
[S 267/2022 wef 01/04/2022]
FORM 41
WARRANT IN THE FIRST INSTANCE
TO BRING UP A WITNESS
(SECTION 120)
To:  The Commissioner of Police
       and all other police officers of Singapore.
       Whereas complaint has been made before me that (name of accused) has [or is suspected to have] committed the offence of (state the offence) and it appears likely that (name and address of witness) can give evidence concerning the said complaint; and whereas the Court has good and sufficient reason to believe that he/she will not attend as a witness on the hearing of the said complaint unless compelled to do so:
       This is to authorise and require you to arrest the said (name of witness) and on (date) at (time) to bring him/her before Court No.          at the State Courts, (address), to be examined on the offence complained of.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
FORM 42
CHARGES
(SECTIONS 123 AND 125)
(I)  CHARGES WITH ONE HEAD
       (1)  That you, on or about the             day of                           20   , at        , waged war against the Government, and thereby committed an offence punishable under section 121 of the Penal Code (Cap. 224).
       (2)  That you, on or about the              day of                           20   , at        , with the intention of inducing the Honourable Mr. B., Member of Parliament, to refrain from exercising a lawful power as such Member, assaulted such Member, and thereby committed an offence punishable under section 124 of the Penal Code.
       (3)  That you, being a public servant in the                        Department, on or about the              day of                           20   , at        , directly accepted from [state name], for another party [state name], a gratification [stating it], other than legal remuneration, as a motive for forbearing to do an official act, and thereby committed an offence punishable under section 161 of the Penal Code.
    (4)  That you, being a public servant, on or about the             day of                                              20   , at        , knowingly did (or omitted to do [as the case may be]) (state act or omission) such conduct being contrary to               intending to cause injury to                        by such act or omission and thereby committed an offence punishable under section 166 of the Penal Code.
      (5)  That you, on or about the             day of                           20   , at        , in the course of the trial of                              , before                            , intentionally gave false evidence by stating that “                           ” which statement you either knew or believed to be false, or did not believe to be true, and thereby committed an offence punishable under section 193 of the Penal Code.
       (6)  That you, on or about the             day of                           20    , at        , committed culpable homicide not amounting to murder, by causing the death of                      , and thereby committed an offence punishable under section 304 of the Penal Code.
       (7)  That you, on or about the             day of                           20    , at        , caused the death of                                                 by doing a rash (or negligent) act not amounting to culpable homicide and thereby committed an offence punishable under section 304A of the Penal Code.
       (8)  That you, on or about the             day of                           20    , at        , abetted the commission of suicide by A, B., a person in a state of intoxication, and thereby committed an offence punishable under section 305 of the Penal Code.
       (9)  That you, on or about the             day of                           20    , at        , voluntarily caused grievous hurt to                                    [stating kind], and thereby committed an offence punishable under section 325 of the Penal Code.
      (10)  That you, on or about the             day of                           20    , at        , committed robbery of [state the thing] in the possession of (X.) and thereby committed an offence punishable under section 392 of the Penal Code.
      (11)  That you, on or about the             day of                           20    , at        , committed gang robbery of [state the thing] in the possession of (X.) and thereby committed an offence punishable under section 395 of the Penal Code.
 
(II)  CHARGES WITH TWO OR MORE HEADS
       (1)  First. —That you, on or about the      day of                   20     , at                 , knowing a currency to be counterfeit, delivered the currency to another person, by name A. B., and thereby committed an offence punishable under section 489B of the Penal Code.
       Secondly. —That you, on or about the        day of                20     , at                  , knowing a currency to be counterfeit, sold it to another person, by name A. B., and thereby committed an offence punishable under section 489B of the Penal Code.
       (2)  First. — That you, on or about the             day of                           20    , at        , committed murder by causing the death of                                       and thereby committed an offence punishable under section 302 of the Penal Code.
       Secondly. — That you, on or about the             day of                           20    , at        , by causing the death of                                       committed culpable homicide not amounting to murder, and thereby committed an offence punishable under section 304 of the Penal Code.
       (3)  First. — That you, on or about the             day of                           20    , at        , committed theft, of [state the thing] in the possession of (X.) and thereby committed an offence punishable under section 379 of the Penal Code.
       Secondly. — That you, on or about the             day of                           20    , at        , committed theft, of [state the thing] in the possession of (X.) having made preparation for causing death to [name] in order to commit such theft, and thereby committed an offence punishable under section 382 of the Penal Code.
       Thirdly. — That you, on or about the             day of                           20    , at        , committed theft, of [state the thing] in the possession of (X.) having made preparation for causing restraint to [name] in order to effect your escape after the committing of such theft, and thereby committed an offence punishable under section 382 of the Penal Code.
       Fourthly. — That you, on or about the             day of                          20    , at        , committed theft, of [state the thing] in the possession of (X.) having made preparation for causing fear of hurt to (name) in order to retain property taken by such theft, and thereby committed an offence punishable under section 382 of the Penal Code.
       (4)  That you, on or about the             day of                           20    , at         , in the course of the inquiry into                                 before                                 , intentionally stated in evidence that “                                        ” and that you, on or about the                                                                   day of                           20    , at        , in the course of the trial of                                         , before                                    , intentionally stated in evidence that “                                              ” one of which statements you either knew or believed to be false, or did not believe to be true, and thereby committed an offence punishable under section 193 of the Penal Code.
 
(III)  [Deleted by S 852/2019 wef 01/01/2020]
 
[S 852/2019 wef 01/01/2020]
(IV)  FORMAL PART OF CHARGE(S) TRIED
BEFORE GENERAL DIVISION OF HIGH COURT
A. B. (name and address, e.g. prisoner in the Prison at Singapore).
       You are charged at the instance of the Public Prosecutor and the charge against you is (here insert charges).
 
 
 
 
 
(Signature)
 
 
Public Prosecutor
 
       [Where charge signed by a Deputy Public Prosecutor add before signature “By authority of the Public Prosecutor”].
[S 1048/2020 wef 02/01/2021]
FORM 43
COMPLAINT TO MAGISTRATE
(SECTIONS 151(1) AND 153(1))
Complainant
Please state
:
Mr/Mrs/Miss/Mdm*_______________________________
Address
:
________________________________________________
NRIC No.
:
________
Tel: ________
Date: ______
Time: ______
 
Solicitors (if any)
Name
:
________________________________________________
Firm
:
________________________________________________
ID
:
_________________
File Ref No.: __________________
 
Respondent
Please state
:
Mr/Mrs/Miss/Mdm*_______________________________
Address
:
________________________________________________
NRIC No.
:
________
Tel: ________
Relationship: ___________
 
Complaint
Related Case No.
:
___________  _________________/  ________________
Nature
:
Maintenance/Enforcement/Variation/Suspension/Protection*
Police Report No.
:
________________________________________________
 
 
 
FOR OFFICIAL USE:
MSS/SS/PSS/C*  _________________/________  ____________  DIV
Summons Serial No.:  ________________
Date of Service and Time:  _____/_____/______        9.00 a.m./2.00 p.m.*
Court Date and Time:  _____/_____/______              9.00 a.m./2.00 p.m.*
Court No.:  ________________
 
 
Issue Search Warrant/Warrant/Summons*
against
:
___________________________________________________
 
 
___________________________________________________
under
:
___________________________________________________
 
 
___________________________________________________
 
District Judge/Magistrate
 
*Delete where applicable
 
Complaint Form
The complainant being examined on oath states:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
 
Signature of complainant
 
 
 
Before me
Interpreted by _________________________
District Judge/Magistrate
Interpreter of Court ____________________
 
 
FORM 44
SUMMONS TO AN ACCUSED PERSON
(SECTION 153(1))
To:  Name and address of accused.
       Whereas your attendance is necessary to answer to a charge [mention shortly the offence charged], you are hereby required to appear on (date) at (time) in person before Court No.           at the State Courts, (address).
 
       Dated this               day of                       20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       Entered No.
(Seal of Court)
       Clerk
FORM 45
STANDARD ALLOCUTION FOR
ACCUSED‑IN‑PERSON AT CRIMINAL CASE
DISCLOSURE CONFERENCE IN STATE COURTS
(SECTION 164)
       The prosecution has served on you the Case for the Prosecution. The Case for the Prosecution must contain —
(a)the charge which the prosecution intends to proceed with against you at trial;
(b)a summary of the facts in support of the charge;
(c)a list of names of the witnesses that the prosecution will be calling to testify at your trial;
(d)a list of the exhibits that the prosecution intends to admit as evidence at your trial;
(e)any written statement that you may have made at any time, and that was recorded by an officer of a law enforcement agency under any law, which the prosecution intends to admit as evidence as part of the prosecution’s case;
(f)a list of every statement that you may have made at any time to an officer of a law enforcement agency under any law, that is recorded in the form of an audiovisual recording, and that the prosecution intends to adduce in evidence as part of the prosecution’s case; and
(g)for every such statement that is recorded in the form of an audiovisual recording, a transcript (if any) of the audiovisual recording of that statement.
     Where the documents mentioned earlier have been provided to you, the prosecution must, if requested by you, arrange for you to view the audiovisual recording of each statement recorded in the form of an audiovisual recording.
     You should go through the Case for the Prosecution, and ensure that you understand its contents.
       If you require more time to review your position, you may apply to the Court for an adjournment. You must state your reasons why the Court should consider granting you such an adjournment. Whether the Court grants an adjournment is a matter for the Court to decide.
      If you intend to plead guilty to the charge against you, you may inform the Court of this now.
     How do you wish to proceed?
{If the accused person does not indicate that he/she either wishes to seek an adjournment or plead guilty to the charge(s), the following shall be administered.}
     You are required to file with this Court a copy of your Case for the Defence. You must also serve a copy of your Case for the Defence on the prosecution, and on every co‑accused, if any, who is claiming trial with you. This must be done no later than 2 weeks from today, that is, no later than [date].
     Your Case for the Defence must contain —
(a)a summary of your defence to the charge, and the facts in support of your defence;
(b)a list of names of the witnesses that you intend to call to testify at your trial;
(c)a list of exhibits that you intend to admit as evidence at the trial; and
(d)any objections to any issue of fact in relation to any matter contained in the Case for the Prosecution.
     If you raise any objections to any issue of fact on which evidence will be produced by you, you should state the nature of the objection.
     If you do not file your Case for the Defence on the Court and serve it on the prosecution and on every other co‑accused, if any, the Court may draw any inference that it thinks fit at your trial. The Court may also draw any inference as it thinks fit if your Case for the Defence does not contain all the mandatory documents and information mentioned earlier. If you put forward a case at trial that differs from, or is inconsistent with the Case for the Defence that you had filed and served, the Court may also draw such inference as it thinks fit. The inferences drawn by the Court may include an inference that is bad for your case.
     Within 2 weeks after you file your Case for the Defence with the Court and serve it on the prosecution and on every co‑accused, if any, the prosecution will provide you with copies of the following:
(a)every other written statement given by you and recorded by an officer of a law enforcement agency under any law in relation to the charge or charges that the prosecution intends to proceed with against you at trial;
(b)for every other statement given by you and recorded, in the form of an audiovisual recording, by an officer of a law enforcement agency under any law in relation to the charge or charges that the prosecution intends to proceed with against you at the trial, a transcript (if any) of the audiovisual recording of the statement;
(c)every documentary exhibit mentioned in the Case for the Prosecution;
(d)if you pay the prescribed fee of [amount], any criminal records that you may have.
     Where the documents mentioned earlier have been provided to you, the prosecution must, if requested by you, arrange for you to view the audiovisual recording of each statement recorded in the form of an audiovisual recording.
      The documents mentioned earlier will not be given to you, and the prosecution need not arrange for the viewing mentioned earlier, if you do not file and serve your Case for the Defence. However, the prosecution may still adduce these statements, exhibits or records as evidence at the trial.
      Where your Case for the Defence has been served on the prosecution, you must, within 2 weeks after the date on which your Case for the Defence is served, serve on the prosecution a copy of each documentary exhibit that is mentioned in your Case for the Defence and is in your possession, custody or power. {This paragraph does not apply to the accused person in any case where the accused person was charged before 17 September 2018.}
      The Court may draw any inference as it thinks fit if you fail to serve on the prosecution a copy of each documentary exhibit that is mentioned in your Case for the Defence and is in your possession, custody or power. The inferences drawn by the Court may include an inference that is bad for your case.
FORM 46
FIAT OF THE PUBLIC PROSECUTOR
(SECTION 210)
       I hereby direct that (name of accused) shall be tried before the General Division of the High Court of Singapore on the charges annexed hereto.
 
       Dated this               day of                      20    .
 
 
 
(Signature)
 
 
Public Prosecutor
[S 1048/2020 wef 02/01/2021]
FORM 47
WARRANT OF REMAND PENDING TRIAL
(SECTION 210)
To:  The Director of Prisons.
       Whereas a fiat designating the General Division of the High Court to try (name of accused) for the offence of (state offence) was made by the Public Prosecutor:
       AND Whereas the Magistrate’s Court has on                             day of                                                20    transmitted the case to the General Division of the High Court for trial:
       This is to authorise and require you, the said officer, to receive the said (name of accused) into your custody together with this warrant and to keep him/her safely in the prison for the purpose of trial before the General Division of the High Court when you shall cause him/her to be brought before the General Division of the High Court on (date) at (time) unless you are otherwise ordered in the meantime.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]
FORM 48
STANDARD ALLOCUTION FOR ACCUSED‑IN‑PERSON AT
CRIMINAL CASE DISCLOSURE CONFERENCE AFTER CASE
HAS BEEN TRANSMITTED TO THE GENERAL DIVISION OF HIGH COURT
(SECTION 216)
      The prosecution has served on you the Case for the Prosecution. The Case for the Prosecution must contain —
(a)a copy of the charge which the prosecution intends to proceed with against you at trial;
(b)a list of names of the witnesses that the prosecution will be calling to testify at your trial;
(c)a list of the exhibits that the prosecution intends to admit as evidence at your trial;
(d)the statements of witnesses that are intended by the prosecution to be admitted at the trial;
(e)any written statement that you may have made at any time, and that was recorded by an officer of a law enforcement agency under any law, which the prosecution intends to adduce in evidence as part of the prosecution’s case;
(f)a list of every statement that you may have made at any time to an officer of a law enforcement agency under any law, that is recorded in the form of an audiovisual recording, and that the prosecution intends to adduce in evidence as part of the prosecution’s case; and
(g)for every such statement that is recorded in the form of an audiovisual recording, a transcript (if any) of the audiovisual recording of that statement.
   Where the documents mentioned earlier have been provided to you, the prosecution must, if requested by you, arrange for you to view the audiovisual recording of each statement recorded in the form of an audiovisual recording.
    You should go through the Case for the Prosecution, and ensure that you understand its contents.
     If you require more time to review your position, you may apply to the Court for an adjournment. You must state your reasons why the Court should consider granting you such an adjournment. Whether the Court grants an adjournment is a matter for the Court to decide.
       If you intend to plead guilty to the charge against you, you may inform the Court of this now.
       How do you wish to proceed?
       {If the accused person does not indicate that he/she either wishes to seek an adjournment or plead guilty to the charge(s), the following shall be administered.}
        You may choose to file with this Court a copy of your Case for the Defence. If you choose to do so, you must also serve a copy of your Case for the Defence on the prosecution, and on every co‑accused, if any, who is claiming trial with you. This must be done no later than 2 weeks from today, that is, no later than [date].
      Your Case for the Defence must contain —
(a)a summary of your defence to the charge, and the facts in support of your defence;
(b)a list of names of the witnesses that you intend to call to testify at your trial;
(c)a list of exhibits that you intend to admit as evidence at the trial; and
(d)any objections to any issue of fact in relation to any matter contained in the Case for the Prosecution.
       If you raise any objections to any issue of fact on which evidence will be produced by you, you should state the nature of the objection.
       If your Case for the Defence does not contain all the mandatory documents and information mentioned earlier, the Court may draw any inference as it thinks fit at your trial. If you put forward a case at trial that differs from, or is inconsistent with the Case for the Defence that you had filed and served, the Court may also draw such inference as it thinks fit. The inferences drawn by the Court may include an inference that is bad for your case.
      Within 2 weeks after you file your Case for the Defence with the Court and serve it on the prosecution and on every co‑accused, if any, the prosecution will provide you with copies of the following:
(a)every other written statement given by you and recorded by an officer of a law enforcement agency under any law in relation to the charge or charges that the prosecution intends to proceed with against you at trial;
(b)for every other statement given by you and recorded, in the form of an audiovisual recording, by an officer of a law enforcement agency under any law in relation to the charge or charges that the prosecution intends to proceed with against you at the trial, a transcript (if any) of the audiovisual recording of the statement;
(c)if you pay the prescribed fee of [amount], any criminal records that you may have.
    Where the documents mentioned earlier have been provided to you, the prosecution must, if requested by you, arrange for you to view the audiovisual recording of each statement recorded in the form of an audiovisual recording.
     The documents mentioned earlier will not be given to you, and the prosecution need not arrange for the viewing mentioned earlier, if you do not file and serve your Case for the Defence. However, the prosecution may still adduce these statements, exhibits or records as evidence at the trial.
    Where your Case for the Defence has been served on the prosecution, you must, within 2 weeks after the date on which your Case for the Defence is served, serve on the prosecution a copy of each documentary exhibit that is set out in the list of exhibits mentioned in your Case for the Defence and is in your possession, custody or power. {This paragraph does not apply to the accused person in any case where the accused person was charged before 17 September 2018.}
     The Court may draw any inference as it thinks fit if you fail to serve on the prosecution a copy of each documentary exhibit that is mentioned in your Case for the Defence and is in your possession, custody or power. The inferences drawn by the Court may include an inference that is bad for your case.
[S 1048/2020 wef 02/01/2021]
FORM 49
WARRANT TO REMAND ACCUSED
(SECTION 238)
To:  The Director of Prisons.
       Whereas (name of accused) was this day brought before this Court charged with having committed the offence [mention shortly the offence charged] and it was necessary to remand the accused.
       This is to authorise and require you, the said officer, to receive (name of accused) into your custody, together with this warrant, and to keep him/her safely in prison and you shall cause him/her to be brought before the said Court on (date) at (time) unless you are otherwise ordered in the meantime.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge, Magistrate or Registrar
       Entered No.
(Seal of Court)
       Clerk
FORM 50
WARRANT TO PRODUCE PRISONER
(SECTION 282(1))
To:  The Director of Prisons.
       You are hereby required to produce (name of prisoner), now a prisoner in the (name of prison) under safe custody before the General Division of the High Court [or District Court or Magistrate’s Court (state Court number)] on (date) at (time) to give testimony in a prosecution now pending before the said Court against (name of accused) and after the said (name of prisoner) has given his/her testimony before the said Court or the said Court has dispensed with his/her further attendance, cause him/her to be conveyed under safe custody back to the said (name of prison).
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge, Magistrate or Registrar
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]
FORM 51
WARRANT OF COMMITMENT UNDER SENTENCE OF DEATH
(SECTION 313(a) AND (b))
To:  The Director of Prisons.
       Whereas at the trial held at the General Division of the High Court, (name of prisoner), the [1st, 2nd, 3rd (as the case may be)] prisoner in Criminal Case No.        of 20   , was on the                              day of                    20   , duly convicted of the offence (state the offence concisely), and sentenced to suffer death:
       This is to authorise and require you, the said officer, to receive the said [name of prisoner] into your custody, together with this warrant, and to keep him/her safely in prison until you receive the further warrant or order of this Court, or an order of the President thereon.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
Registrar
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]
FORM 52
WARRANT OF EXECUTION ON A SENTENCE OF DEATH
(SECTION 313(g))
To:  The Director of Prisons.
       Whereas (name of prisoner), the [1st, 2nd, 3rd (as the case may be)] prisoner in Criminal Case No.                    of 20       , having been tried, convicted and sentenced to suffer death by the General Division of the High Court on the        day of                  20       , which sentence having been confirmed by this Court in an appeal by the said (name of prisoner)/a petition for confirmation by the Public Prosecutor*, has been by a warrant of this Court, dated the        day of                 20       , committed to your custody under sentence of death; and whereas the order of the President directing the said sentence to be carried into effect has been received by this Court:
       This is to authorise and require you, the said officer, to carry the said sentence into execution by causing the said (name of prisoner) to be hanged by his/her neck until he/she is dead at (time and place of execution), and to return this warrant to this Court with an endorsement certifying that the sentence has been executed.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
Chief Justice/Justice of the Court of Appeal/Judge of the Appellate Division/Judge of the High Court*
       (Seal of Court)
         (*delete accordingly)
[S 1048/2020 wef 02/01/2021]
FORM 53
WARRANT WHERE PRISONER SENTENCED TO
IMPRISONMENT OR CANING BY GENERAL DIVISION OF HIGH COURT
(SECTION 317)
To:  The Director of Prisons.
       Whereas (name of prisoner), the [1st, 2nd, 3rd (as the case may be)] prisoner in Criminal Case No.       of 20      , was tried before the General Division of the High Court and on the                                day of                                 20      , duly convicted of the offence (mention shortly the offence), and sentenced to (state the sentence):
       This is to authorise and require you, the said officer, to receive the said (name of prisoner) into your custody, together with this warrant, and to carry the said sentence into execution unless you are otherwise ordered in the meantime and to return this warrant to the Court with an endorsement certifying that the sentence has been executed.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
Registrar
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]
FORM 54
ORDER OF ATTACHMENT TO LEVY
A FINE BY ATTACHMENT
(SECTION 319)
To:  Name and designation of the police officer or other person, or persons, who is, or are, to execute the Order.
       Whereas (name of offender) was on the                                      day of                                                                                20     convicted before me of the offence of (mention the offence concisely) and sentenced to pay a fine of                            dollars, and whereas the said (name of offender), although required to pay the said fine, has not paid the same or any part thereof:
      This is to authorise and require you to attach by seizure any property belonging to the said (name of offender); and to return this warrant, with an endorsement certifying what you have done under it, immediately upon its execution.
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 55
BOND TO SECURE PAYMENT OF FINE (WITHOUT SURETY)
(SECTIONS 107 AND 319)
       Whereas I, (name, NRIC and address of accused person), have been sentenced to pay a fine of dollars                                                   and in default of payment thereof to serve imprisonment for                                          by the General Division of the High Court/State Court No.               at Singapore in Case/Charge No.         .
       And whereas the said Court has:
(a)allowed payment of the fine in full by                a.m./p.m. on (date);
*(b)directed payment of the fine to be made by                        instalments on the following dates                                  ;
upon the condition of my executing a bond to pay the fine in full or by instalments, I hereby bind myself to pay the fine as directed;
       and in case of making any default, I herein bind myself to forfeit to the Government the sum of                                    , or the whole of the fine remaining unpaid, failure to pay which will render myself liable to arrest in order to serve the default sentence applicable;
       and I also understand that if I am unable to discharge the sum forfeited, the Court may proceed to recover the said sum by issuing an order for the attachment and sale of my property, and if the said sum is not paid and cannot be recovered by such attachment and sale, I shall be liable to imprisonment for a term which may extend to 12 months.
 
       Dated this               day of                      20    .
 
Signature (of accused person)
(Explained and affirmed in the                            language)
Sworn Interpreter
 
Acknowledged before me
 
Justice of the Court of Appeal/Judge/District Judge/Magistrate
(*delete accordingly)
[S 1048/2020 wef 02/01/2021]
FORM 56
BOND TO SECURE PAYMENT OF FINE (WITH SURETY/SURETIES)
(SECTION 319)
       Whereas I, (name, NRIC and address of accused), have been sentenced to pay a fine of dollars                                                   and in default of payment thereof to serve imprisonment for                                          by the General Division of the High Court/State Court No.               at Singapore in Case/Charge No.         .
       And whereas the said Court has:
(a)allowed payment of the fine in full by                a.m./p.m. on (date);
*(b)directed payment of the fine to be made by                        instalments on the following dates                                  ;
upon the condition of my executing a bond to pay the fine in full or by instalments, I hereby bind myself to pay the fine as directed;
       and in case of making any default, I herein bind myself to forfeit to the Government the sum of                                    , or the whole of the fine remaining unpaid, failure to pay which will render myself liable to arrest in order to serve the default sentence applicable;
       and I also understand that if I am unable to discharge the sum forfeited, the Court may proceed to recover the said sum by issuing an order for the attachment and sale of my property, and if the said sum is not paid and cannot be recovered by such attachment and sale, I shall be liable to imprisonment for a term which may extend to 12 months.
 
       Dated this               day of                     20    .
 
Signature (of accused person)
(Explained and affirmed in the                            language)
Sworn Interpreter
 
Acknowledged before me
 
Justice of the Court of Appeal/Judge/District Judge/Magistrate
(*delete accordingly)
I/We (state name, NRIC number and address of surety/sureties)
do hereby declare myself/ourselves surety/sureties for the abovementioned, that he/she will pay the fine as directed; and in the case of his/her making default therein, I/we bind myself/ourselves jointly and severally to forfeit to the Government the sum of                                                  , or the whole of the fine remaining unpaid.
       I/We understand that if I/we am/are unable to discharge the sum forfeited, the Court may proceed to recover the said sum by issuing an order for the attachment and sale of my/our property, and if the said sum is not paid and cannot be recovered by such attachment and sale, I/we shall be liable to imprisonment for a term which may extend to 12 months.
 
       Dated this               day of                      20    .
 
Signature(s)  (of surety/sureties)
(Explained and affirmed in the                            language)
Sworn Interpreter
 
Acknowledged before me
 
Justice of the Court of Appeal/Judge/District Judge/Magistrate
[S 1048/2020 wef 02/01/2021]
FORM 57
MANDATORY TREATMENT ORDER
(SECTION 339)
In the _______________ Court
Court Case No. _____________
 
       WHEREAS (name, NRIC and address of offender) appeared before the Court and was on (date) guilty of the offence of (state offence concisely);
       AND WHEREAS the Court, having regard to the circumstances of the case, including the nature of the offence and the character of the offender, is satisfied that it is expedient to make a Mandatory Treatment Order in respect of the offender requiring him/her to undergo treatment with an appointed psychiatrist;
       AND WHEREAS the Court has explained to the offender the purpose, effect, and consequences which may follow if any requirements or conditions of a Mandatory Treatment Order are not met and the power of the Court to vary or revoke the order upon application of the appointed psychiatrist;
       NOW, THEREFORE, IT IS HEREBY ORDERED that the offender be sentenced to a Mandatory Treatment Order for a period of ___ months with effect from (date);
       AND IT IS FURTHER ORDERED that the offender shall during the said period —
(a)attend treatment sessions with an appointed psychiatrist on such day and time and at such place as the appointed psychiatrist may require;
(b)comply with such other conditions in connection with his/her treatment as the appointed psychiatrist may require; and
(c)comply with the following condition(s):
(state condition(s) imposed by the Court).
 
Dated this: ___________________
(Seal of Court)
 
 
 
_______________________
District Judge/Magistrate
Appointed psychiatrist
I, ______________________, have explained the requirements of the Mandatory Treatment Order to the offender concerned and I am satisfied that the offender understands them.
 
 
 
___________________
Appointed psychiatrist
 
I, ______________________, hereby acknowledge that I have received a copy of my Mandatory Treatment Order and that I am aware of the requirements of my Mandatory Treatment Order, which have been explained to me.
 
 
 
___________________
Offender
FORM 58
DAY REPORTING ORDER
(SECTION 341)
In the _______________ Court
Court Case No. _____________
 
       WHEREAS (name, NRIC and address of offender) appeared before the Court on (date) and was found guilty of the offence of (state offence concisely).
       AND WHEREAS the Court, having regard to the circumstances of the case, including the nature of the offence and the character of the offender, is satisfied that it is expedient to make a Day Reporting Order in respect of the offender.
       AND WHEREAS the Court has explained to the offender the purpose, effect, and consequences which may follow if any requirements or conditions are not met and the power of the Court to vary or revoke the order upon application of the day reporting officer.
       NOW, THEREFORE, IT IS HEREBY ORDERED that the offender be required to undergo Day Reporting under the supervision of a day reporting officer for a period of _____ months with effect from (date).
       AND IT IS FURTHER ORDERED that the offender shall during the said period comply with the following requirements:
(a)report to the day reporting officer on such day and time and at such reporting centre as the day reporting officer may require;
(b)undergo such counselling and rehabilitation programme as the day reporting officer may require;
(c)notify the day reporting officer of any change in his/her address or employment status;
(d)give to the day reporting officer, upon the request of that officer, any information relating to his/her daily routine or whereabouts;
(e)comply with the requirement for electronic monitoring (if any);
(f)not assault, threaten, insult or use abusive language to a day reporting officer;
(g)comply with the following condition(s):
(state condition(s) imposed by the Court).
 
       Dated this ______ day of ________________ 20__.
 
       (Seal of Court)
 
 
 
_______________________
District Judge/Magistrate
FORM 59
COMMUNITY WORK ORDER (SECTION 344)
In the _______________ Court
Court Case No. _____________
 
       WHEREAS (name, NRIC and address of offender) appeared before the Court and was on (date) found guilty of the offence of (state offence concisely).
       AND WHEREAS the Court is satisfied that it is expedient with a view to the offender’s reformation that he/she shall be required to perform community work that is associated with that offence.
       AND WHEREAS the Court has explained to the offender the purpose, effect, and consequences which may follow if any requirements or conditions of the Community Work Order are not met and the power of the Court to vary or revoke the order upon application of the community work officer.
       NOW, THEREFORE, IT IS HEREBY ORDERED that the offender be sentenced to a Community Work Order.
       AND IT IS FURTHER ORDERED that the offender in respect of whom the Community Work Order is in force shall —
(a)perform, for ____ hours, _____________ (state nature of work) on such day, time and place as the community work officer may require;
(b)notify the community work officer of any change of his/her address;
(c)perform the community work in a satisfactory manner;
(d)not disturb or interfere with any other person participating in or doing anything under a community work order;
(e)not assault, threaten, insult or use abusive language to a community work officer;
(f)comply with the following condition(s):
(state condition(s) imposed by the Court); and
(g)comply with the following regulations:
(state regulations)
 
       Dated this ______ day of ________________ 20__.
 
       (Seal of Court)
 
 
 
_______________________
District Judge/Magistrate
 
Community Work Officer
I, ________________, have explained the requirements of the Community Work Order to the offender concerned and I am satisfied that the offender understands them.
 
 
 
________________________
Community Work Officer
 
I, _______________, hereby acknowledge that I have received a copy of my Community Work Order and that I am aware of the requirements of my Community Work Order, which have been explained to me.
 
 
 
__________________
Offender
FORM 60
COMMUNITY SERVICE ORDER
(SECTION 346)
In the _______________ Court
Court Case No. _____________
 
       WHEREAS (name, NRIC and address of offender) appeared before the Court and was on (date) found guilty of the offence of (state offence concisely).
       AND WHEREAS the Court is of the opinion that based on the mental and physical condition of the offender, the offender is suitable to perform community service as suitable arrangements can be made for the offender to perform community service and it is expedient with a view to the offender’s reformation that the offender makes amends to the community for the offence by performing such community service.
       AND WHEREAS the Court has explained to the offender the purpose, effect, and consequences which may follow if any requirements or conditions of the Community Service Order are not met and the power of the Court to vary or revoke the order upon application of the community service officer.
       NOW, THEREFORE, IT IS HEREBY ORDERED that the offender perform ______ hours of community service under the supervision of a community service officer.
       AND IT IS FURTHER ORDERED that the offender shall during the said period —
(a)perform, for _____ hours, such community service and on such day, time and place as the community service officer may require;
(b)notify the community service officer of any change of his/her address or occupation;
(c)perform the community service in a satisfactory manner;
(d)not disturb or interfere with any other person participating in or doing anything under a community service order;
(e)not assault, threaten, insult or use abusive language to a community service officer;
(f)comply with the following condition(s):
(state condition(s) imposed by the Court); and
(g)comply with the following regulations:
(state regulations)
 
       Dated this ______ day of ________________ 20 __.
 
       (Seal of Court)
 
 
 
_______________________
District Judge/Magistrate
 
 
 
 
Community Service Officer
I, ___________________, have explained the requirements of the Community Service Order to the offender concerned and I am satisfied that the offender understands them.
 
 
 
________________________
Community Service Officer
 
I, ____________________, hereby acknowledge that I have received a copy of my Community Service Order and that I am aware of the requirements of my Community Service Order, which have been explained to me.
 
 
 
________________
Offender
FORM 61
BOND OF SECURITY FOR COMPLIANCE
WITH MANDATORY TREATMENT ORDER
(SECTION 349)
 
Court Case No.: _______________
 
In the State Courts
 
       Before the Court No. _____ (state Court No.), ______________(name of offender) holder of __________ (state NRIC No.) of __________ (state address) (hereinafter referred to as the offender), having appeared before Court No. ____ on _____(date).
       And a Mandatory Treatment Order having been made by the said Court requiring the offender to undergo ________ months of treatment with an appointed psychiatrist commencing on ________________ and to be subject to the following requirements:
[set out requirements in Mandatory Treatment Order]
       I/We hereby acknowledge myself/ourselves surety/sureties for the said offender that the offender will comply with the aforesaid requirements and in case of the offender making default therein, I/we bind myself/ourselves jointly and severally to forfeit to the Government of Singapore the sum of dollars ______________________________ only/each.
 
Dated this _______ day of ___________ 20 __.
 
Signature ______________________
Signature ______________________
Name _________________________
Name _________________________
NRIC No. _____________________
NRIC No. _____________________
Address _______________________
Address _______________________
______________________________
______________________________
 
Acknowledged before me
 
________________
Sworn Interpreter
 
(Seal of Court)
 
_______________________
District Judge/Magistrate
FORM 62
BOND OF SECURITY FOR COMPLIANCE
WITH DAY REPORTING ORDER
(SECTION 349)
 
Court Case No.: _______________
 
In the State Courts
 
       Before the Court No. _____ (state Court No.), ______________ (name of offender) holder of _____________ (state NRIC No.) of ___________ (state address) (hereinafter referred to as the offender), having appeared before Court No. ____ on ___________ (date).
       And a Day Reporting Order having been made by the said Court requiring the offender to undergo day reporting for a period of ____ months commencing on
___________ (date), and to be subject to the following requirements:
[set out requirements in Day Reporting Order]
       I/We hereby acknowledge myself/ourselves surety/sureties for the said offender that the offender will comply with the aforesaid requirements and in case of the offender making default therein, I/we bind myself/ourselves jointly and severally to forfeit to the Government of Singapore the sum of dollars __________________ only/each.
 
Dated this _______ day of ___________ 20 __.
 
Signature ______________________
Signature ______________________
Name _________________________
Name _________________________
NRIC No. _____________________
NRIC No. _____________________
Address _______________________
Address _______________________
______________________________
______________________________
 
Acknowledged before me
 
________________
Sworn Interpreter
 
(Seal of Court)
 
_______________________
District Judge/Magistrate
FORM 63
BOND OF SECURITY FOR COMPLIANCE
WITH COMMUNITY WORK ORDER
(SECTION 349)
 
Court Case No.: _______________
 
In the State Courts
 
       Before the Court No. _____ (state Court No.), ___________ (name of offender) holder of __________ (state NRIC No.) of _____________ (state address) (hereinafter referred to as the offender), having appeared before Court No. ____ on _________ (date).
       And a Community Work Order having been made by the said Court with the following requirements:
[set out requirements in Community Work Order]
       I/We hereby acknowledge myself/ourselves surety/sureties for the said offender that the offender will comply with the aforesaid requirements and in case of the offender making default therein, I/we bind myself/ourselves jointly and severally to forfeit to the Government of Singapore the sum of dollars __________________ only/each.
 
Dated this _______ day of ___________ 20 __.
 
Signature ____________________
Signature ____________________
Name ______________________
Name ______________________
NRIC No. ___________________
NRIC No. ___________________
Address _____________________
Address _____________________
____________________________
____________________________
 
Acknowledged before me
 
________________
Sworn Interpreter
 
(Seal of Court)
 
_______________________
District Judge/Magistrate
FORM 64
BOND OF SECURITY FOR COMPLIANCE
WITH COMMUNITY SERVICE ORDER
(SECTION 349)
 
Court Case No.: _______________
 
In the State Courts
 
 
       Before the Court No. _____ (state Court No.), ____________ (name of offender) holder of __________ (state NRIC No.) of ______________ (state address) (hereinafter referred to as the offender), having appeared before Court No. ____ on ________ (date).
       And a Community Service Order having been made by the said Court requiring the offender to perform ____ hours of community service under the supervision of a community service officer with the following requirements:
[set out requirements in Community Service Order]
       I/We hereby acknowledge myself/ourselves surety/sureties for the said offender that the offender will comply with the aforesaid requirements and in case of the offender making default therein, I/we bind myself/ourselves jointly and severally to forfeit to the Government of Singapore the sum of dollars __________________ only/each.
 
       Dated this _______ day of ___________ 20 ____.
 
Signature ____________________
Signature ____________________
Name ______________________
Name ______________________
NRIC No. ___________________
NRIC No. ___________________
Address _____________________
Address _____________________
____________________________
____________________________
 
Acknowledged before me
 
________________
Sworn Interpreter
 
(Seal of Court)
 
_______________________
District Judge/Magistrate
FORM 65
WARRANT OF IMPRISONMENT ON
DEFAULT OF PAYMENT OF COMPENSATION
(SECTION 360(1)(d))
To:  The Director of Prisons.
       Whereas (name of accused) was convicted of an offence (state offence concisely) by this Court and an order was made awarding payment by the said (name of accused) of the sum of                                        dollars as compensation to (name of person to be compensated) and in default of payment he/she be imprisoned for       days [or months], and whereas the said sum has not been paid:
or
       Whereas (name of accused) was acquitted of an offence (state offence concisely) by this Court, and it having been proved to the satisfaction of the Court that the prosecution was frivolous [or vexatious], made an order awarding payment by (name of complainant or informant, as the case may be) of the sum of                                              dollars as compensation to the said (name of accused) and in default of payment, the said (name of complainant or informant, as the case may be) be imprisoned for       days [or months], and whereas the said sum has not been paid:
       This is to authorise and require you, the said officer, to receive the said (name of accused or complainant or informant, as the case may be) into your custody, together with this warrant, and to keep him/her safely in prison for the said period of (term of imprisonment) subject to section 360(5) or (6) of the Criminal Procedure Code (Cap. 68), unless the said sum is sooner paid and on the receipt thereof forthwith to set him/her at liberty; and to return this warrant with an endorsement certifying the manner of its execution.
 
       Issued this          day of                                    20   .
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 66
NOTICE OF APPEAL
(SECTIONS 374 TO 377)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
Magistrate’s Appeal No.         of 20      .
State Court No.
Case No.
 
Between
 
[Name of Appellant] ... Appellant
 
And
 
[Name of Respondent] ... Respondent
 
To:
The Honourable the Justices
of the High Court of the
Republic of Singapore.
 
NOTICE OF APPEAL
       Take Notice that the abovenamed appellant, being dissatisfied with [his conviction (or sentence)] [or the acquittal of or the sentence imposed on, the respondent] [or the order (mention the order) made] by the District Judge [or Magistrate] in Court No.         of the State Courts on the                        day
of                        20     , hereby appeals against the said conviction [or acquittal or sentence or order] in the abovementioned case.
 
       Dated this          day of                                    20   .
 
 
(Signature)
 
Appellant
 
The address of service of the abovementioned Appellant is
[S 1048/2020 wef 02/01/2021]
FORM 67
PETITION OF APPEAL
(SECTION 378)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
Magistrate’s Appeal No.
State Court No.
Case No.
 
 
Between
 
[Name of Appellant] … Appellant
 
And
 
[Name of Respondent] … Respondent
 
To:
The Honourable the Justices
of the High Court of the
Republic of Singapore.
 
[S 1048/2020 wef 02/01/2021]
PETITION OF APPEAL
       The petition of A.B.
Shows as follows:
       1.  *Your Petitioner, the abovenamed A.B. was charged with (here describe the charge shortly) and convicted (or acquitted) at Court No.       of the State Courts at Singapore on the            day of                         20     , and the following order was made thereon (here state shortly the substance of the judgment or sentence).
       2.  Your Petitioner is dissatisfied with the said judgment on the grounds following:
           (Here state the particular grounds of appeal on which the appellant relies).
       3.  Your Petitioner prays that such judgment or sentence may be reversed or annulled or that such order may be made thereon as justice may require.
 
       Dated this               day of                     20    .
 
 
(Signature)
 
Appellant
 
*If the appeal is brought by the Public Prosecutor, omit the words “Your Petitioner” in paragraph 1.
FORM 68
PETITION FOR CONFIRMATION
(SECTIONS 383(3) AND 394A(1))
IN THE COURT OF APPEAL OF THE REPUBLIC OF SINGAPORE
Petition for Confirmation No.
Criminal Case No.
 
 
Between
 
Public Prosecutor
 
And
 
(Name of Accused)
 
 
To:
The Honourable the Chief Justice and Justices
of the Court of Appeal of the Republic of Singapore.
 
PETITION FOR CONFIRMATION
The petition of the Public Prosecutor
Shows as follows:
1.  The abovenamed (name of accused) was charged with (here describe the charge shortly), convicted by the General Division of the High Court on the       day of       20      , and sentenced to suffer death by the General Division of the High Court on the              day of      20     .
2.  No appeal has been filed by (name of accused) within the time allowed under the Criminal Procedure Code (Cap. 68) for an appeal.
3.  Your Petitioner prays that this Court confirms the imposition of the sentence of death on (name of accused).
 
       Dated this               day of                      20    .
 
 
(Signature)
Public Prosecutor
[S 1048/2020 wef 02/01/2021]
FORM 69
SPECIAL CASE
(SECTION 395)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
Special Case No.
State Court No.
Case No.
 
Between
 
Public Prosecutor
 
And
 
(Name of Accused)
 
 
SPECIAL CASE
       Case stated by the undersigned under section 395 of the Criminal Procedure Code (Cap. 68).
       At Court No.           of the State Courts, Singapore, before the undersigned on the             day of                      20    , one (name of accused) was charged as follows:
       (state the charge)
       At the hearing of the said charge it was proved before me that (here set out so much of the evidence and admitted facts of the case as is necessary to raise the question or questions of law intended to be submitted).
       It was thereupon contended on the part of the accused [or Public Prosecutor, as the case may be] that (here state the legal objection taken).
       But [or And] I being of opinion that (here state the ground on which the Court decided the case) held that (here state the decision and judgment of the Court).
       The question or the opinion of this Court is whether the said determination was correct in point of law and what should be done in the premises.
 
[S 1048/2020 wef 02/01/2021]
       Dated this               day of                     20    .
 
 
 
 
 
(Signature)
 
 
District Judge
Magistrate
       (Seal of Court)
FORM 70
PETITION FOR REVISION
(SECTION 400)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
Criminal Revision No. ________ of 20 ___
 
 
IN THE MATTER OF ________________
 
And
 
IN THE MATTER OF SECTION 400 OF
THE CRIMINAL PROCEDURE CODE
(CAP. 68)
 
Between
 
______________
 
... Applicant
 
And
 
______________
 
... Respondent
 
PETITION FOR REVISION
To the Honourable Judges of the High Court of the Republic of Singapore.
The Humble Petition of __________________ of ___________________ shows as follows:
[Insert grounds here]
 
________________________
Applicant/
Solicitors for the Applicant
 
       Dated this _______ day of ______________________ 20 ___.
 
*The petition is to be accompanied by an affidavit affirmed/sworn by the petitioner confirming that the statements contained in the petition are to the best of the petitioner’s knowledge and is true in all respects.
[S 1048/2020 wef 02/01/2021]
FORM 71
PETITION FOR REVISION
(CRIMINAL CASE DISCLOSURE CONFERENCE)
(SECTION 404)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
Criminal Revision No. ________ of 20 ___
 
 
IN THE MATTER OF ________________
 
And
 
IN THE MATTER OF SECTION 404 OF
THE CRIMINAL PROCEDURE CODE
(CAP. 68)
 
Between
 
______________
 
... Applicant
 
And
 
______________
 
... Respondent
 
PETITION FOR REVISION
(CRIMINAL CASE DISCLOSURE CONFERENCE)
To the Honourable Judges of the High Court of the Republic of Singapore.
The Humble Petition of __________________ of ___________________ shows as follows:
[Insert grounds here]
 
 
________________________
Applicant/
Solicitors for the Applicant
 
       Dated this _______ day of ______________________ 20 ___.
*The petition is to be accompanied by an affidavit affirmed/sworn by the petitioner confirming that the statements contained in the petition are to the best of the petitioner’s knowledge and is true in all respects.
[S 1048/2020 wef 02/01/2021]
FORM 72
NOTICE OF CRIMINAL MOTION
(SECTIONS 405 AND 407)
IN THE GENERAL DIVISION OF THE
HIGH COURT/COURT OF APPEAL OF
THE REPUBLIC OF SINGAPORE
Criminal Motion No. ________ of 20 ___
 
 
IN THE MATTER OF ________________
 
And
 
IN THE MATTER OF
SECTIONS 405 AND 407 OF
THE CRIMINAL PROCEDURE CODE
(CAP. 68)
 
Between
 
______________
 
... Applicant
 
And
 
______________
 
... Respondent
 
[S 1048/2020 wef 02/01/2021]
NOTICE OF CRIMINAL MOTION
       TAKE NOTICE that this Honourable Court will be moved on the ___ day of   ___________ 20 __ at ________ a.m./p.m. or soon thereafter for [the Applicant to be heard in person/counsel for the Applicant to be heard] for an Order that:
 
 
 
 
 
 
 
       The grounds for the application are set out in the supporting affidavit of ______________ dated __________________ filed herein.
 
 
 
 
 
________________________
Applicant/
Solicitors for the Applicant
 
       Dated this _______ day of ______________________ 20 ___.
 
The address for service of the abovenamed Applicant is __________________.
To:  The Respondent
        [Address]
FORM 73
NOTICE OF CRIMINAL MOTION (VARIATION OF BAIL)
(SECTIONS 97 AND 407)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
Criminal Motion No. ________ of 20 ___
 
 
IN THE MATTER OF ________________
 
And
 
IN THE MATTER OF
SECTIONS 97 AND 407 OF
THE CRIMINAL PROCEDURE CODE
(CAP. 68)
 
Between
 
______________
 
... Applicant
 
And
 
______________
 
... Respondent
 
[S 1048/2020 wef 02/01/2021]
NOTICE OF CRIMINAL MOTION
(VARIATION OF BAIL)
       TAKE NOTICE that this Honourable Court will be moved on the ____ day of ___________ 20__ at ________ a.m./p.m. or soon thereafter for [the Applicant to be heard in person/counsel for the Applicant to be heard] for an Order that this Honourable Court exercises its powers under section 97 of the Criminal Procedure Code and vary the bail to ______________ in ________ surety.
       The grounds for the application are set out in the supporting affidavit of ______________ dated __________________ filed herein.
 
________________________
Applicant/
Solicitors for the Applicant
 
       Dated this _______ day of ______________________ 20 ___.
 
The address for service of the abovenamed Applicant is __________________.
To:  The Respondent
        [Address]
FORM 74
NOTICE OF CRIMINAL MOTION (EXTENSION OF TIME)
(SECTION 407)
IN THE GENERAL DIVISION OF THE
HIGH COURT/COURT OF APPEAL OF
THE REPUBLIC OF SINGAPORE
Criminal Motion No. ________ of 20 ___
 
 
IN THE MATTER OF ________________
 
And
 
IN THE MATTER OF SECTION 407 OF
THE CRIMINAL PROCEDURE CODE
(CAP. 68)
 
Between
 
______________
 
... Applicant
 
And
 
______________
 
... Respondent
 
[S 1048/2020 wef 02/01/2021]
NOTICE OF CRIMINAL MOTION
(EXTENSION OF TIME)
       TAKE NOTICE that this Honourable Court will be moved on the ___ day of ___________ 20 __ at ________ a.m./p.m. or soon thereafter for [the Applicant to be heard in person/counsel for the Applicant to be heard] for an Order that the Applicant be granted an extension of time to file _____________________________ within ____ days from the date of the Order to be made herein.
       The grounds for the application are set out in the supporting affidavit of ______________ dated __________________ filed herein.
 
________________________
Applicant/
Solicitors for the Applicant
 
       Dated this _______ day of ______________________ 20 ___.
 
The address for service of the abovenamed Applicant is __________________.
To:  The Respondent
        [Address]
FORM 75
NOTICE OF CRIMINAL MOTION
(ADDUCTION OF FURTHER EVIDENCE)
(SECTIONS 392 AND 407)
IN THE GENERAL DIVISION OF THE
HIGH COURT/COURT OF APPEAL OF
THE REPUBLIC OF SINGAPORE
 
Criminal Motion No. ________ of 20 ___
 
 
IN THE MATTER OF ________________
 
And
 
IN THE MATTER OF
SECTIONS 392 AND 407 OF
THE CRIMINAL PROCEDURE CODE
(CAP. 68)
 
Between
 
______________
 
... Applicant
 
And
 
______________
 
... Respondent
 
[S 1048/2020 wef 02/01/2021]
NOTICE OF CRIMINAL MOTION
(ADDUCTION OF FURTHER EVIDENCE)
       TAKE NOTICE that this Honourable Court will be moved on the ___ day of ___________ 20 ___ at ________ a.m./p.m. or soon thereafter for [the Applicant to be heard in person/counsel for the Applicant to be heard] for an Order that this Honourable Court exercises its powers under section 392 of the Criminal Procedure Code, and grant the Applicant permission to adduce further evidence at the hearing of _________________________ in the form of _______________________.
       The grounds for the application are set out in the supporting affidavit of ______________ dated __________________ filed herein.
 
 
 
________________________
Applicant/
Solicitors for the Applicant
 
       Dated this _______ day of ______________________ 20 ___.
 
The address for service of the abovenamed Applicant is __________________.
To:  The Respondent
        [Address]
[S 267/2022 wef 01/04/2022]
FORM 76
WARRANT TO REMOVE CUSTODY OF PRISONER
(SECTION 419)
IN THE GENERAL DIVISION OF THE HIGH COURT OF THE REPUBLIC OF SINGAPORE
To:  The Director of Prisons.
       You are hereby required to have                                                         (name of prisoner), now a prisoner in the (name of prison) conveyed under safe custody before the officers assembled at a court martial at (place of court martial) on the                                                                  (date) at           (time) [for the trial of the said (name of prisoner)] [or there to give testimony in a certain trial now pending before the said court martial against (name of person to be tried at the court martial)] (or as the case may be) and [after the trial of the said (name of person to be tried at the court martial)] [or after the said (name of prisoner) shall then and there have given his/her testimony before the said court martial] [or after the said court martial shall have dispensed with his/her further attendance] cause him/her to be conveyed under safe custody back to the said (name of prison).
 
       Issued this               day of                      20    .
 
 
 
(Signature)
 
 
Registrar
 
 
 
 
 
(Signature)
 
 
Judge
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]
FORM 77
WARRANT TO REMOVE CUSTODY OF PRISONER
(SECTION 420)
To:  The Director of Prisons.
       You are hereby required to have                                                                  (name of prisoner), now a prisoner in the (name of prison in which prisoner is detained), conveyed under safe custody to the prison at (mention the prison receiving the prisoner) and on or before the        day of                                           20     to transfer the prisoner to the officer in charge of such prison to be kept there by the officer in charge in intermediate custody for the purpose of trial [or giving testimony in a certain trial against (name of accused) now pending] (or as the case may be) before the General Division of the High Court [or District Court or Magistrate’s Court].
 
       Issued this               day of                     20    .
 
 
 
(Signature)
 
 
Registrar
 
 
 
 
 
(Signature)
 
 
Judge
       (Seal of Court)
[S 1048/2020 wef 02/01/2021]