Supreme Court of Newfoundland and Labrador — Court of Appeal Criminal Appeal Rules (2002) (SI/2002-96)
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Regulations are current to 2013-04-29
FORM A
(Rule 3(1))
(To be used where Notice is filed by Counsel on Behalf of Appellant)
(This Form A may be varied to meet the case where the Attorney General is the appellant, or where circumstances require changes in it.)
20.... No.
IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR — COURT OF APPEAL
IN THE MATTER OF
(name of appellant) who was
convicted at 
(name of town/city) in the Province
of Newfoundland and Labrador
by Judge 
BETWEEN:
(Name of Appellant)
Appellant
AND:
HER MAJESTY THE QUEEN
as represented by the Attorney General
Respondent
NOTICE OF APPEAL (OR NOTICE OF APPLICATION FOR LEAVE TO APPEAL) (OR NOTICE OF CROSS-APPEAL)
1. Section of the Criminal Code pursuant to which the appeal is taken

2. Place of trial

3. Name of judge

4. Name of court

5. Name of crown prosecutor at trial

6. Name of defence counsel at trial

7. Offence(s) of which appellant convicted

8. Sections of the Criminal Code or other statutes under which appellant convicted

9. Plea at trial

10. Length of trial

11. Sentence imposed

12. Date of conviction

13. Date of imposition of sentence

14. If the appellant is in custody, place of incarceration

15. Appellant’s date of birth

16. Appellant’s last known address

17. Trial court case number

Take notice that the appellant (insert whichever of the following is applicable)
(a) appeals against conviction on grounds involving a question of law alone;
(b) applies for leave to appeal conviction on grounds involving a question of fact alone or a question of mixed law and fact, and if leave is granted, hereby appeals against the said conviction; or
(c) applies for leave to appeal against sentence, and if leave be granted hereby appeals against sentence.
The grounds of appeal are annexed hereto as “Appendix A”.
The relief sought is 
Note: If the appellant had a right to be tried by judge and jury originally but chose a judge alone, the appellant would have the right to be tried by judge and jury if a new trial is ordered but only if the appellant indicates a desire to be so tried in this notice.
If a new trial is ordered and the appellant would have the right to trial by judge and jury, does the appellant wish trial by
judge and jury?
Yes
No 
The appellant’s address for service is 

Dated at
, Newfoundland and Labrador, this
day of
, 20 
(Counsel on behalf of appellant)
TO:
The Registrar
Court of Appeal
P.O. Box 937
287 Duckworth Street
St. John’s
Newfoundland and Labrador
A1C 5M3
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