Form 30
(version 3)
UCPR 7.16
UCPR 7.16
CONSENT TO ACT AS TUTOR
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COURT DETAILS
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Court
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#Division
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#List
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Registry
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Case number
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TITLE OF PROCEEDINGS
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[First] plaintiff
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[name]
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#Second
plaintiff #Number of plaintiffs (if more than two)
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[First] defendant
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[name]
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#Second defendant #Number of
defendants (if more than two)
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FILING DETAILS
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Filed for
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[name] [role of party eg
plaintiff]
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Legal representative
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[solicitor on record] [firm]
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#Legal representative reference
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[reference number]
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Contact name and telephone
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[name] [telephone]
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Contact email
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[email address]
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CONSENT
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I, [full name of tutor]
consent to act as tutor for [name], the [role of party eg plaintiff]
in these proceedings.
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Signature
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Date of
signature
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SIGNATURE OF LEGAL
REPRESENTATIVE
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I certify that [full name
of tutor] does not have an interest in the proceedings adverse to the
interests of [name], the [role of party eg plaintiff] in these
proceedings.
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Signature
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Capacity
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[eg solicitor on record, contact
solicitor]
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Date of
signature
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[on separate page]
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FURTHER DETAILS ABOUT TUTOR
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[include
tutor's contact details]
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Name
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Address
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#[unit/level number]
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#[building name]
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[street number]
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[street name]
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[street type]
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[suburb/city]
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[state/territory]
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[postcode]
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Legal representative for tutor
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Name
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[name of solicitor on record]
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Practising certificate number
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Firm
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[name of firm]
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#Contact solicitor
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[include
name of contact solicitor if different to solicitor on record]
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Address
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#[unit/level number]
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#[building name]
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[street number]
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[street name]
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[street type]
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[suburb/city]
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[state/territory]
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[postcode]
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DX address
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Telephone
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Fax
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Email
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Electronic service address
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[#email address for electronic
service eg service@emailaddress.com.au
#Not applicable]
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