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Toepassingsmogelijkheden van het elektronisch toezicht in het ...

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AFDELING III – ENGELAND EN WALES<br />

Bail Act 1976 cases - Electronic Monitor<strong>in</strong>g Information Form<br />

Orig<strong>in</strong>ator of EM Requirement:<br />

From: Court Name and Address<br />

Crown Magistrates<br />

Court Code:<br />

Supervis<strong>in</strong>g Court Code:<br />

Court Reference No:<br />

Date of next Court hear<strong>in</strong>g :<br />

Court Contact:<br />

Notification: First Revised Variation<br />

Personal Details of Defendant<br />

First or Forename: Gender: Male Female<br />

Last or Surname: Alias:<br />

Address:<br />

Postcode:<br />

DOB: Age at start of EM<br />

Requirement:<br />

Special Needs:<br />

Telephone Number: Mobile Number:<br />

National Insurance No: Case Reference No:<br />

CRB No: PNC No:<br />

Electronically-Monitored Curfew Requirement<br />

Start Date of EM Requirement End Date of EM Requirement<br />

Start Time of EM Requirement End time of EM Requirement<br />

You are required to stay at the follow<strong>in</strong>g address at the times and on the days stated below<br />

Curfew Address 1<br />

Monday<br />

From<br />

To<br />

From<br />

To<br />

Total<br />

No of<br />

Hours<br />

Tuesday Wednesday Thursday Friday Saturday Sunday<br />

67

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