Capítulo: 227C Reglamento de magistrados (Formularios), Hong Kong (China)

These rules may be cited as the Magistrates (Forms) Rules.

The forms in the Schedule shall be the prescribed forms for the purposes of the Ordinance.

THIS SUMMONS THEREFORE REQUIRES YOU TO APPEAR on (date) at (time) in Court No. , Magistracy before the magistrate presiding there to answer to the information] or [complaint] and to be further dealt with according to law.

This summons is issued under the Magistrates Ordinance (Cap 227) by a magistrate or an officer of a magistrate's court who is authorized under section 8(1) of that Ordinance.

(Date of the Summons) (59 of 1994 s. 7; L.N. 355 of 1997)

FORM 1A [section 8A & Fourth Schedule]

MAGISTRATES ORDINANCE (Chapter 227)

Notice to appear before a Magistrate IN THE MAGISTRATE'S COURT AT ........................................................................... To:

Full Name: ...................................................

Address: ...................................................
...................................................
...................................................

Sex and Age: *Male/Female .......... (age) .........

**Hong Kong Identity Card No. ................................................... (if known) ...................................................

1. I, ......................................................................................................... (full name), ......................................................................................................................... (office/rank), a public officer specified in the Fourth Schedule to the Magistrates Ordinance (Cap 227), suspect that you have committed an offence specified in that Schedule as follows-

Particulars of alleged offence ..................................................
..................................................

Date and time of alleged offence .................../........../19 ....... (date)
......................... * a.m./p.m. (time)

Place of alleged offence ..................................................

*Country Park/Special Area ..................................................
(if applicable) ..................................................

contrary to

*(a) Part III of the Public Health and Municipal Services Ordinance (Cap 132) section .........................; *(b) the Public Cleansing and Prevention of Nuisances Regulation (Cap 132 sub. leg.)

section .............................; *(c) (Repealed 78 of 1999 s. 7) *(d) the Country Parks and Special Areas Regulations (Cap 208 sub. leg.) regulation .............................; *(e) the Summary Offences Ordinance (Cap 228) section 4D(1),

and, in accordance with section 8A of the Magistrates Ordinance (Cap 227), serve on you this notice requiring you to

appear before a magistrate to be dealt with according to law at the following time and place-

Date and time of hearing ................................. / ............... / 19 ........... (date)
........................... a.m./p.m. (time)

Place of hearing Court No. ....................................
................................... Magistracy
*Hong Kong/Kowloon/ .................

2. WARNING: If you fail to appear at the time and place of hearing mentioned in paragraph 1

(a)

the magistrate may issue a warrant for your arrest; and

(b)

you will be ordered to pay the costs specified in section 8A(5) of the Magistrates Ordinance (Cap 227) whether or not you are convicted of the alleged offence.

Signature of Public Officer: ..................................

Date: ...............................................

* Delete as necessary. ** Where no Hong Kong Identity Card is held a passport or other travel document number may be inserted.

(L.N. 201 of 1987; L.N. 158 of 1995; 78 of 1999 s. 7)

FORM 1B

(Repealed L.N. 201 of 1987)

FORM 2 [sections 18A, 20 & 72]

Warrant when summons is disobeyed

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong.

On the day of 19 , information was laid (or complaint was made) before a magistrate of Hong Kong, that [as in the summons]; and a summons was then issued by the said magistrate to the said [name of defendant] commanding him to be and appear on day, the day of 19 , at o'clock in the noon, at the said court, before such magistrate as might then be there, to answer to the said information (or complaint) and to be further dealt with according to law; and the said [name of defendant] having not appeared at the time and place so appointed in and by the said summons, although it has been proved to me upon oath (or declaration) that the said summons has been duly served on the said [name of defendant]:

These are, therefore, to command you forthwith to apprehend the said [name of defendant] and to bring him before me or such magistrate as may then be sitting to answer to the said information (or complaint) and to be further dealt with according to law.

Dated this day of 19 .

................................................

Magistrate.

[L.S.] (59 of 1994 s. 8; L.N. 355 of 1997)

FORM 2A [section 8A(3)]

Warrant where notice to appear is disobeyed

IN THE MAGISTRATE'S COURT AT.................................................................................. To each and all of the police officers of Hong Kong.

On the ........................ day of .................................................................... 19 ......... at ............ *a.m./p.m. a notice to appear before a magistrate was issued by a public officer specified in the Fourth Schedule to the Magistrates Ordinance (Cap 227), to

(a)

........................ ............................................................................................................................................ of

(b)

..................................................................................................... requiring him to be and appear on the ................................................................................. day of ...................... ..............................19 ........ at .................................... *a.m./p.m. at the Magistrate's Court at ............................................ *Hong Kong/Kowloon/New Territories before such magistrate as might then be there to be dealt with according to law; and the said

(a)

....................................... ............................................................................................................................................. having not appeared at the time and place so specified in the notice, although it has been proved upon oath that the notice has been served on him personally:

These are, therefore, to command you forthwith to apprehend the said

(a)

................... ......................................................................................................... and to bring him before me or such magistrate as may then be sitting to be dealt with according to law.

Dated this ........... day of .................. 19 .....

................................................ Magistrate.

[L.S.]

* delete whichever is not applicable. Notes: (a) insert full name of person on whom the notice has been served

(b) insert full address of person on whom the notice has been served.

(L.N. 198 of 1972; L.N. 158 of 1995; L.N. 355 of 1997)

FORM 3 [sections 20 & 23] Warrant where defendant bound by a recognizance has failed to appear

HONG KONG. IN THE MAGISTRATE'S COURT AT To each and all of the police officers of Hong Kong. On the day of 19 , information was laid (or complaint was made or [name of

defendant] was charged), before a magistrate of Hong Kong, that he [here state shortly the matter of the information, complaint or charge]; and the said [name of defendant] was then bound by a recognizance to be and appear on day, the day of 19 , at o'clock in the noon, at the said court, before me or such magistrate as might then be sitting, to answer to the said information (or complaint or charge) and to be further dealt with according to law; and the said [name of defendant] has not appeared at the time and place so appointed:

These are, therefore, to command you forthwith to apprehend the said [name of defendant] and to bring him before me or such magistrate may then be sitting to answer to the said information (or complaint or charge) and to be further dealt with according to law.

Dated this day of 19 .

................................................ [L.S.] Magistrate. (59 of 1994 s. 8; L.N. 355 of 1997)

FORM 4 [sections 9, 72 & 74]

Warrant in the first instance

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong.

Information having this day been laid before the undersigned, a magistrate of Hong Kong, for that [here state shortly the matter of the information]; and oath (or declaration) being now made before me substantiating the matter of such information:

These are, therefore, to command you forthwith to apprehend the said [name of defendant] and to bring him before a magistrate of Hong Kong to answer to the said information, and to be further dealt with according to law.

Dated this day of 19 .

................................................ Magistrate. [L.S.]

NOTE.-When the offence is committed on the high seas (or outside Hong Kong) the warrant should describe the party injured to have been at the time of the offence "within the jurisdiction of the Hong Kong courts". (59 of 1994 s. 8; L.N. 355 of 1997)

FORM 5 [sections 20 & 23] Warrant of committal for safe custody during an adjournment of the hearing HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong and to the Commissioner of Correctional Services.

On the day of 19 , information was laid before the undersigned, a magistrate of Hong Kong for that [here state shortly the matter of the information];

and the hearing of the same having been adjourned to day, the day of 19 , at o'clock in the noon, it is necessary that the said should in the meantime be kept in safe custody:

These are, therefore, to command you, the said police officers, forthwith to convey the said to a prison [or some other place of security], and there to deliver him to the Commissioner of Correctional Services, with this precept; and you, the said Commissioner, to receive the said into your custody in a prison [or some other place of security], and there safely to keep him until

day, the day of 19 ; when you, the said police officer, and hereby required to convey and have him at the time and place to which the said hearing is so adjourned as aforesaid, at o'clock in the noon of the same day, before me or such magistrate as may then be there, to answer further to the said information and to be further dealt with according to law, unless you shall be otherwise ordered in the meantime.

Dated this day of 19 .

................................................ [L.S.] Magistrate.

(L.N. 134 of 1967; 59 of 1994 s. 8; L.N. 355 of 1997)

FORM 6 [sections 8, 20, 23, 31,63, 64 & 65]

(WITH SURETIES)

Recognizance conditioned for appearance

HONG KONG. IN THE MAGISTRATE'S COURT AT

We, the undersigned of of and of , severally acknowledge ourselves to owe to the Government the several sums following, namely, the said as principal the sum of , and the said and

as sureties the sum of each, to be levied on our several goods, lands, and tenements if the said fails in the condition hereon endorsed.

Signed (where not taken orally) .......................................................
.......................................................
.......................................................

Taken (orally) before me the day of 19 .

................................................
[L.S.] Magistrate.
Explained by (or Magistrate's Clerk or Superintendent
of Police or Inspector of Police or
Commissioner of Correctional
Services as the case may be).

............................................
Sworn Interpreter

CONDITION ENDORSED

The condition of the within-written recognizance is such that if the within-bounden appears before such magistrate as may then be sitting at the said court on day, the day of 19 , at o'clock in the noon, to answer (further) to the charge made against him by and to be (further) dealt with according to law (or appears before such magistrate as may then be sitting at for sentence when called upon) then the said recognizance shall be void, but otherwise shall remain in full force.

NOTE-Where the recognizance is taken orally omit the words "the undersigned" and insert the word "orally" after "Taken".

(L.N. 355 of 1997)

FORM 7 [sections 20, 23, 31,63, 64 & 65.]

(PERSONAL)

Recognizance conditioned for appearance

HONG KONG. IN THE MAGISTRATE'S COURT AT

I, the undersigned of do hereby acknowledge myself to owe to the Government the sum of to be levied on my goods, lands and tenements if I the said shall fail in the condition hereon endorsed.

Signed (where not taken orally) ...................................................

Taken (orally) before me the day of 19 .

................................................
[L.S.] Magistrate.
Explained by (or Magistrate's Clerk or Superintendent
of Police or Inspector of Police or
Commissioner of Correctional
Services, as the case may be)

............................................

Sworn Interpreter

CONDITION ENDORSED

The condition of the within-written recognizance is such that if the within-bounden appears before such magistrate as may then be sitting at the said court on day, the day of 19 , at o'clock in the noon, to answer (further) to the charge made against him by and to be (further) dealt with according to law (or appears before such magistrate as may then be sitting at for sentence when called upon) then the said recognizance shall be void, but otherwise shall remain in full force.

NOTE-Where the recognizance is taken orally omit the words "the undersigned" and insert the word "orally" after "Taken".

(L.N. 355 of 1997)

FORM 8 [sections 20, 23, 31, 63, 64 & 65.]

(MONEY DEPOSIT WITH SURETIES)

Recognizance conditioned for appearance

HONG KONG. IN THE MAGISTRATE'S COURT AT

I, the undersigned of do hereby acknowledge myself to owe to the Government the sum of deposited herewith if I fail in the condition hereon endorsed and we, the undersigned of and of severally acknowledge ourselves as sureties to owe to the Government the several sums following, namely, the said the sum of and the said the sum of to be levied on our several goods, lands and tenements if the said fails in the condition hereon endorsed.

Signed (where not taken orally) ...................................................
...................................................
...................................................

Taken (orally) before me the day of 19 .

................................................
[L.S.] Magistrate.
Explained by (or Magistrate's Clerk or Superintendent
of Police or Inspector of Police or
Commissioner of Correctional
Services, as the case may be)

........................................

Sworn Interpreter

CONDITION ENDORSED

The condition of the within-written recognizance is such that if the within-bounden person appears before such magistrate as may then be sitting at the said court on day, the day of 19 , at o'clock in the noon, to answer (further) to the charge made against him by and to be (further) dealt with according to law then the said recognizance shall be void, but otherwise shall remain in full force.

NOTE.-Where the recognizance is taken orally omit the words "the undersigned" and insert the word "orally" after "Taken".

(L.N. 355 of 1997)

I, the undersigned of do hereby acknowledge myself to owe to the Government the sum of deposited herewith, if I fail in the condition hereon endorsed.

Signed (where not taken orally) .............................................................................

Taken (orally) before me the day of 19 .

................................................
[L.S.] Magistrate.
Explained by (or Magistrate's Clerk or Superintendent
of Police or Inspector of Police or
Commissioner of Correctional
Services, as the case may be)

........................................

Sworn Interpreter

CONDITION ENDORSED

The condition of the within-written recognizance is such that if the within-bounden person appears before such magistrate as may then be sitting at the said court on day, the day of 19 , at o'clock in the noon, to answer (further) to the charge made against him by

and to be (further) dealt with according to law then the said recognizance shall be void, but otherwise shall remain in full force.

NOTE-Where the recognizance is taken orally omit the words "the undersigned" and insert the word "orally" after "Taken".

(L.N. 355 of 1997)

FORM 10 [section 36]

(WITH SURETIES)

Recognizance to be of good behaviour and to appear for conviction and sentence or for sentence

HONG KONG. IN THE MAGISTRATE'S COURT AT

We, the undersigned of of and of severally acknowledge ourselves to owe the Government the several sums following, namely, the said as principal, the sum of and the said and as sureties the sum of each, to be levied on our several goods, lands, and tenements if the said principal fails in the condition hereon endorsed.

Signed (where not taken orally) ............................................................
............................................................
............................................................

Taken (orally) before me the day of 19 .

................................................ [L.S.] Magistrate's Clerk. Explained by

.........................................
Sworn Interpreter

CONDITION ENDORSED

The condition of the within-written recognizance is such that if the within-bounden principal is of good behaviour for the term now next ensuing and appears for conviction and sentence or for sentence when called upon within the said period before such magistrate as may then be sitting at the said or other magistrate's court, then the said recognizance shall be void, but otherwise shall remain in full force.

NOTE-Where the recognizance is taken orally omit the words "the undersigned" and insert the word "orally" after "Taken".

(L.N. 355 of 1997)

FORM 11 [section 36]

(PERSONAL)

Recognizance to be of good behaviour and to appear for conviction and sentence or for sentence

HONG KONG. IN THE MAGISTRATE'S COURT AT

I, the undersigned of do hereby acknowledge myself to owe to the Government the sum of to be levied on my goods, lands and tenements if I fail in the condition hereon endorsed.

Signed (where not taken orally) ...................................................

Taken (orally) before me the day of 19 .

................................................ [L.S.] Magistrate's Clerk. Explained by

.....................................
Sworn Interpreter

CONDITION ENDORSED

The condition of the within-written recognizance is such that if the within-bounden person is of good behaviour for the term of now next ensuing and appears for conviction and sentence or for sentence when called upon within the said period before such magistrate as may then be sitting at the said or other magistrate's court, then the said recognizance shall be void, but otherwise shall remain in full force.

NOTE-Where the recognizance is taken orally omit the words "the undersigned" and insert the word "orally" after "Taken".

(L.N. 355 of 1997)

FORM 11A [section 36]

Warrant of commitment on commission of further offence during probation period or period of conditional discharge

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong and to the Commissioner of Correctional Services in Hong Kong.

(hereinafter called the defendant) was on the day of 19 , convicted by the Magistrate's Court sitting at ........................................................................ , [state shortly particulars of offence], and on the said date [or on the day of 19 ,] the said Court made a probation order which required him/her for the period of [years] from the date hereof to be under the supervision of a probation officer [or an order discharging him/her subject to the condition that he/she should commit no further offence during the period of years from the date thereof]:

And the defendant has this day appeared (or been brought) before me and I was satisfied that he/she had on the day of 19 , been convicted by the Magistrate's Court sitting at ....................................................... (or District Court sitting at ...................................................................... or Court of First Instance), of a further offence, namely (state shortly particulars of offence), committed by him/her on the day of 19 , during the said period:

[(or) And the defendant has this day been convicted by me of a further offence, namely, (state shortly particulars of offence), and I was satisfied that the said offence was committed by him/her on the day of 19 , during the said period]:

And it was adjudged that the defendant for the offence in respect of which the said order was made be imprisoned in a prison in Hong Kong for the space of :

These are, therefore, to command you, the said police officers, to take the defendant and convey him to a prison, and there to deliver him to the Commissioner of Correctional Services, together with this warrant; and you, the said Commissioner, to receive the defendant into your custody in a prison and then to imprison him for the space of : and for your so doing this shall be your sufficient warrant.

Dated this day of 19 .

................................................ [L.S.] Magistrate.

(L.N. 200 of 1972; 59 of 1994 s. 8; 25 of 1998 s. 2)

FORM 12 [section 64]

Note of forfeiture of recognizance to be given to principal

HONG KONG. IN THE MAGISTRATE'S COURT AT

Take notice that (on the complaint of ) this Court has this day adjudged that the recognizance entered into by you on the day of 19 , be forfeited and that you pay the sum of (and for costs) to be paid forthwith (or not later than the day of 19 ).

Failure to pay forthwith (or on or before the appointed day) will render your money and goods liable to distraint without further notice.

Dated this day of 19 .

................................................ [L.S.] Magistrate's Clerk

FORM 13 [sections 31 & 64]

Certificate of forfeiture to be endorsed on recognizance

The within-named not having appeared [or as the case may be] at the time and place in the said condition mentioned, it is hereby certified that the within-written recognizance is forfeited.

Dated this day of 19 .

................................................ [L.S.] Magistrate.

FORM 14 [sections 21 & 22]

Summons to a witness

HONG KONG. IN THE MAGISTRATE'S COURT AT

To

Information having been laid (or complaint having been made) before a magistrate of Hong Kong, for that [as in the summons to defendant]; and it having been made to appear to me that you are likely to give material evidence on behalf of the informant (or complainant, or defendant, or accused) in this behalf:

These are, therefore, to require you

(a)

to be and appear on day, the day of , 19 , at o'clock in the noon, at the said court, before such magistrate as may then be there; and

(b)

to be and appear before such magistrate at the said court at such time and on such date as may be directed by such magistrate until the conclusion of the proceedings at which your attendance is required,

to testify what you shall know concerning the matter of the said information (or complaint).

Dated this day of 19 .

................................................ [L.S.] Magistrate.

(59 of 1994 ss. 7 & 8)

FORM 15 [sections 21 & 22]

Warrant where a witness has not obeyed a summons

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong.

Information having been laid ( or complaint having been made) before a magistrate of Hong Kong, for that [as in summons to defendant]; and it having been made to appear that

of , was likely to give material evidence on behalf of the informant (or complainant, or defendant, or accused) a summons was duly issued by the said magistrate to the said , requiring him to be and appear on day, the day of 19 , at o'clock in the noon, at the said court before such magistrate as might then be there, to testify what he should know concerning the said or the matter of the said information (or complaint); and proof having this day been made before me upon oath (or declaration) of such summons having been duly served on the said

and of a reasonable sum having been tendered to him for his costs and expenses in that behalf, and the said having refused or neglected to appear at the time and place appointed by the said summons, and no just excuse having been offered for such refusal or neglect:

These are, therefore, to command you to take the said and to bring and have him on day, the day of 19 , at o'clock in the noon, at the said court, before such magistrate as may then be there, to testify what he shall know concerning the matter of the said information (or complaint).

Dated this day of 19 .

................................................ [L.S.] Magistrate.

(59 of 1994 s. 8)

FORM 16 [sections 21, 22 & 78]

Warrant for a witness in the first instance

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong.

Information having been laid (or complaint having been made) before a magistrate of Hong Kong, for that [as in the summons to defendant]; and it being made to appear before me upon oath (or declaration) that of , is likely to give material evidence on behalf of the informant (or complainant, or defendant, or accused) in this matter, and it is probable that the said will not attend to give evidence without being compelled to do so:

These are, therefore, to command you to bring and have the said on day, the day of 19 , at o'clock in the noon, at the said court, before such magistrate as may then be there, to testify what he shall know concerning the matter of the said information (or complaint).

Dated this day of 19 .

................................................ [L.S.] Magistrate. (59 of 1994 s. 8)

FORM 17 [sections 21, 22 & 78]

Commitment of a witness refusing to be sworn or to give evidence

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong and to the Commissioner of Correctional Services.

Information having been laid (or complaint having been made or having been charged) before a magistrate of Hong Kong, for that [as in the summons to defendant]; and one now appearing before me on day, the day of 19 , at the said court and being required by me to make oath (or declaration) as a witness in that behalf now refuses so to do (or being sworn or declared as a witness in the matter of the said information, or complaint, or charge) refuses to answer certain questions, without offering any just excuse for such his refusal:

These are, therefore, to command you, the said police officers to take the said and him safely to convey to a prison, and there to deliver him to the Commissioner of Correctional Services, together with this precept; and you, the said Commissioner, to receive the said into your custody in a prison, and there imprison him for such his contempt for the space of days, unless he shall in the meantime consent to be examined and to answer concerning the premises; and for your so doing this shall be your sufficient warrant.

Dated this day of 19 .

................................................ [L.S.] Magistrate. (59 of 1994 s. 8)

FORM 18 [sections 20 & 79]

Warrant to remand a defendant when apprehended

HONG KONG. IN THE MAGISTRATE'S COURT AT

To each and all of the police officers of Hong Kong and to the Commissioner of Correctional Services.

Information having been laid (or complaint having been made, or having been charged) before a magistrate of Hong Kong, for that [as in the summons to defendant]; and the said being now brought before me under and by virtue of a warrant upon such information (or complaint, or charge):

These are, therefore, to command you, the said police officers, forthwith to convey the said to a prison [or some other place of security], and there to deliver him to the Commissioner of Correctional Services, together with this precept; and you, the said Commissioner to receive the said into your custody in a prison [or some other place of security], and there safely to keep him until day, the day of 19 ; when you, the said police officers, are hereby commanded to convey and have him at the said court at o'clock in the noon of the same day, before such magistrate as may then be there, to answer to the said information (or complaint, or charge) and to be further dealt with according to law.

Dated this day of 19 .

................................................ [L.S.] Magistrate.

(L.N. 134 of 1967; 59 of 1994 s. 8; L.N. 355 of 1997)

FORM 19 [sections 34 & 81]

Minute and depositions of witnesses

HONG KONG. IN THE MAGISTRATE'S COURT AT

Hong Kong on the information (or complaint) of versus , & c.

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The examination of , of [merchant], and , of [labourer], taken upon oath (or declaration) this day of 19 , at the said court before the undersigned, a magistrate of Hong Kong, in the presence and hearing of against whom information is laid (or complaint is made, or who is charged) by this day before [me], for that he, the said , on the day of 19 , at [describing the offence as in the information, summons, or warrant of commitment].

This deponent upon his oath (or declaration) saith as follows: [stating the deposition of the witness as nearly as possible in the words he uses. When his deposition is complete, if the offence is an indictable one, let him sign it].

And this deponent upon his oath (or declaration) saith as follows: [etc.].

The above depositions of and were taken [and sworn] before me at , on the day and year first above mentioned.

................................................

[L.S ] Magistrate.

NOTE-Where a fine is inflicted a memorandum of penalties paid into court shall be added. (59 of 1994 s. 8; L.N. 355 of 1997)

FORM 20 [sections 28 & 69]

Cap 227C - MAGISTRATES (FORMS) RULES

Conviction for fine, to be levied by distress, etc. and, in default of sufficient distress, imprisonment

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

(hereinafter called the defendant) is this day convicted before the said court for that he, on the day of 19 , at [state offence]; and it is adjudged that the defendant for his said offence do forfeit and pay the sum of [state the fine and costs or compensation if any,] to be paid and applied according to law; and if the said sum be not paid forthwith (or on or before the day of 19 , or by instalments of for every days, the first instalment to be paid forthwith or on the day of 19 ), *(it is ordered that the said sum be levied by distress and sale of the defendant's goods and chattels, and in default of sufficient distress,) *(then, inasmuch as it has now been made to appear to me that the issuing of a warrant of distress in this behalf would be ruinous to the defendant and his family,) *(then, inasmuch as it has now been made to appear to me that the defendant has no goods or chattels whereon to levy the said sum by distress,) *(then, inasmuch as I deem it inexpedient to issue such warrant of distress,) it is adjudged that the defendant be imprisoned in a prison in Hong Kong, for the space of unless the said sum (and all costs and charges of the said distress) [and of the commitment and conveying of the defendant to a prison], shall be sooner paid.

................................................ [L.S.] Magistrate.

* Delete where inapplicable. (59 of 1994 s. 8)

FORM 21 [sections 28, 41, 51 & 69]

Conviction for fine, to be levied by distress, and, in default of sufficient distress, imprisonment

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said Court.

The day of 19 .

(hereinafter called the defendant) is this day convicted before the said court for that he, on the day of 19 , at [state offence]; and it is adjudged that the defendant for his said offence do forfeit and pay the sum of [state the fine and costs or compensation if any] to be paid and applied according to law; and if the said sum be not paid forthwith (or on or before the day of 19 , or by instalments of for every days, the first instalment to be paid forthwith or on the day of 19 ), it is ordered that the said sum be levied by distress and sale of the defendant's goods; and, in default of sufficient distress, it is ordered that the defendant be imprisoned in a prison in Hong Kong for the space of , unless the said sum, and all costs and charges of the said distress,shall be sooner paid.

................................................ [L.S.] Magistrate. (59 of 1994 s. 8)

FORM 22 [sections 28, 41 & 69]

Conviction for fine, and, in default of payment, imprisonment

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

(hereinafter called the defendant) is this day convicted before the said court for that he, on the day of 19 , at [state offence]; and it is adjudged that the defendant for his said offence do forfeit and pay the sum of [state the fine and costs or compensation if any] to be paid and applied according to law; and if the said sum be not paid forthwith (or on or before the day of 19 , or by instalments of for every days, the first instalment to be paid forthwith or on the day of 19 ), it is ordered that the defendant be imprisoned in a prison in Hong Kong for the space of unless the said sum shall be sooner paid.

................................................ [L.S.] Magistrate. (59 of 1994 s. 8)

FORM 23 [sections 28, 41 & 69]

Conviction when the punishment is by imprisonment. Costs

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

(hereafter called the defendant) is this day convicted before the said court for that he, on the day of 19 , at [state offence]; and it is adjudged that the defendant for his said offence be imprisoned in a prison in Hong Kong for the space of ; and it is also adjudged that the defendant do pay to the said the sum of for his costs in this behalf and if the said sum for costs be not paid forthwith (or on or before the day of 19 ), *(then it is ordered that the said sum be levied by distress and sale of the goods and chattels of the defendant and, in default of sufficient distress in that behalf,) *(then inasmuch as it has now been made to appear to me that the issuing of a warrant of distress in this behalf would be ruinous to the defendant and his family,) *(then inasmuch as it has now been made to appear to me that the defendant has no goods or chattels whereon to levy the said sums by distress,) *(then inasmuch as I deem it inexpedient to issue such warrant of distress,) it is adjudged that the defendant be imprisoned in a prison in Hong Kong for the space of to commence at and from the termination of his imprisonment

aforesaid, unless the said sum for costs and all costs and charges of the said distress shall be sooner paid.

................................................ [L.S.] Magistrate.

* Delete where inapplicable. (59 of 1994 s. 8)

FORM 24 [section 28]

Conviction where punishment is by imprisonment. No costs

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

(hereafter called the defendant) is this day convicted before the said court for that he, on the day of 19 , at [state offence]; and it is adjudged that the defendant for his said offence be imprisoned in a prison in Hong Kong for the space of .

................................................ [L.S.] Magistrate. (59 of 1994 s. 8)

FORM 25 [sections 28 & 41]

Conviction or order where security is to be given for payment

HONG KONG. IN THE MAGISTRATE'S COURT AT

[Proceed as in ordinary conviction or order down to direction as to time of payment inclusive, and then, instead of inserting any direction as to distress or imprisonment, proceed as follows]

and it is ordered that be at liberty to give, to the satisfaction of a magistrate [or such person as may be named], security in the sum of , with two sureties (or one surety) in the sum of [each], for the payment of the said sums as above directed.

................................................ [L.S.] Magistrate.

FORM 26 [sections 28, 36 & 41]

Where defendant is discharged conditionally on entering into a recognizance to be of good behaviour and to appear

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

(hereinafter called the defendant) is this day found guilty (and convicted) before the said court for that he on the day of 19 , at [state offence]; but being of opinion that it is inexpedient to inflict any punishment (or any other than a nominal punishment), and the defendant having entered into a recognizance without (or with) sureties, in a sum of dollars, to be of good behaviour and to appear for conviction and sentence (or for sentence), when called on at any time during a period of years (months), he is conditionally discharged; and it is ordered that the defendant do pay to the said for compensation (or damages) and for costs [if so ordered] forthwith (or on or before the day of 19 , or by instalments of for every days, the first instalment to be paid on or before the day of 19 ).

................................................ [L.S.] Magistrate. (59 of 1994 s. 8)

FORM 27 [sections 28, 41 & 55]

Order for payment of money

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

having made complaint that (hereinafter called the defendant) [state the facts entitling the complainant to the order with the time and place when and where they occurred], and the parties aforesaid having appeared (or the said having appeared but the defendant although duly called, not having appeared by himself or his counsel, and it being now satisfactorily proved to me upon oath (or declaration) that the defendant has been duly served with the summons in this behalf, which required him to be and appear here on this day before such magistrate as might now be here, to answer to the said complaint and to be further dealt with according to law); and now, having heard the matter of the said complaint, it is adjudged and ordered that the defendant do pay to the said the sum of forthwith (or on or before the day of 19 , or as the enactment may require), and also do pay to the said the sum of for his costs in this behalf; and if the said several sums are not paid forthwith (or on or before the day of 19 ), it is adjudged that the defendant be imprisoned in a prison in Hong Kong for the space of unless the said several sums shall be sooner paid.

................................................ [L.S.] Magistrate. (59 of 1994 s. 8; L.N. 355 of 1997)

FORM 27A

Order for payment of money, etc. under section 22(2) of the Fixed
Penalty (Traffic Contraventions) Ordinance, Cap 237

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

The Secretary for Justice having made complaint that (hereinafter called the defendant) [here state the facts entitling the complainant to the order with the time and place when and where they occurred], and the parties aforesaid having appeared (or counsel for the Secretary for Justice having appeared but the defendant, although duly called, not having appeared by himself or his counsel, and it being now satisfactorily proved to me that the defendant has been duly served with the summons in this behalf, which required him to be and appear on this day before such magistrate as might now be here, to answer to the said complaint and to be further dealt with according to law); now, having heard the matter of the said complaint, it is adjudged and ordered that-

(a)

the defendant do forthwith pay into this court the sum of $ , being the fixed penalty of $ [, an additional penalty of $ ] and the sum of $ for his costs in this behalf;

(b)

the Commissioner for Transport do, so long as the defendant fails to pay the sums hereby adjudged to be paid,-

(i)

take no action under paragraph (3), (3A), (4) or (5) of regulation 17 of the Road Traffic (Registration and Licensing of Vehicles) Regulations (Cap 374 sub. leg. E) on receipt of any notice of transfer of ownership of the motor vehicle registered with the mark;

(ii)

refuse to license the said motor vehicle under paragraph (3), (5) or (6) of regulation 21 of the said Registrations; and

(iii) refuse to issue a driving licence to the defendant or to renew his driving licence as the case may be.

................................................ [L.S.] Magistrate.

(L.N. 150 of 1970; L.N. 413 of 1984; 59 of 1994 s. 8; L.N. 362 of 1997; 25 of 2005 s. 32)

FORM 28 [section 101A]

Summons to defendant to show cause why a warrant of commitment should not issue

HONG KONG. IN THE MAGISTRATE'S COURT AT

To , of ,[labourer].

Whereas on the day of 19 , you were convicted of an offence contrary to and were fined :

[or Whereas on the day of 19 , it was adjudged that [name of defendant] should pay to the sum of and also should pay to the said the sum of for costs:]

And whereas you were allowed a period of days within which to pay the said sum and the said period has expired:

And whereas the said sum has not been paid:

These are, therefore, to command you to be and appear on day the day of 19 , at o'clock in the noon, at the said court, before such magistrate as may then be there, to show cause why a warrant of commitment should not issue and to be further dealt with according to law.

And take notice that if you fail to appear a warrant to apprehend you may issue.

Dated this day of 19 .

................................................ [L.S.] Magistrate.

CERTIFICATE OF SERVICE

This summons was served by me:
(PLACE) ..........................................
(DATE) .............................................

...................................................... ................................................
(Signature of Recipient of Summons). (Signature of Process Server).

(L.N. 355 of 1997)

FORM 29 [section 101A] Warrant to apprehend for non-payment of fine

HONG KONG. IN THE MAGISTRATE'S COURT AT To each and all of the police officers of Hong Kong. Whereas on the day of 19 , [name of defendant] was convicted of an

offence contrary to and was fined : [or Whereas on the day of 19 , it was adjudged that [name of defendant] should pay to the sum of and also should pay to the said the sum of for costs:] And whereas the said [name of defendant] was allowed a period of days within which to pay the said

sum and the said period has expired: And whereas the said sum has not been paid: These are, therefore, to command you forthwith to apprehend the said [name of defendant] and to bring him

before a magistrate of Hong Kong to show cause why a warrant of commitment should not issue and to be further dealt with according to the law. Dated this day of 19 .

................................................

[L.S.] Magistrate. (59 of 1994 s. 8; L.N. 355 of 1997)

FORM 30 [sections 28, 41 & 51]

Order for payment of money to be levied by distress, and, in default of distress, imprisonment

HONG KONG. IN THE MAGISTRATE'S COURT AT

Before , Esquire, a magistrate of Hong Kong, sitting at the said court.

The day of 19 .

having made a complaint that (hereinafter called the defendant) [state the facts entitling the complainant to the order, with the time and place when and where they occurred]; and the parties aforesaid having appeared (or the said having appeared but the defendant, although duly called, not having appeared by himself or his counsel, and it being now satisfactorily proved to me upon oath (or declaration) that the defendant has been duly served with the summons in this behalf, which required him to be and appear here on this day before such magistrate as might now be here, to answer to the said complaint, and to be further dealt with according to law); and now, having heard the matter of the said complaint, it is adjudged and ordered that the defendant do pay to the said the sum of forthwith (or on or before the day of 19 , or as the enactment may require), and also do pay to the said the sum of for his costs in this behalf, and if the said several sums are not paid forthwith (or on or before the day of 19 ), *(then it is ordered that the said sum be levied by distress and sale of the goods and chattels of the defendant and, in default of sufficient distress in that behalf,) *(then inasmuch as it has now been made to appear to me that the issuing of a warrant of distress in this behalf would be ruinous to the defendant and his family,) *(then inasmuch as it has now been made to appear to me that the defendant has no goods or chattels whereon to levy the said sums by distress,) *(then inasmuch as I deem it inexpedient to issue such warrant of distress,) it is adjudged that the defendant be imprisoned in a prison in Hong Kong for the space of to commence at and from the termination of his imprisonment aforesaid, unless the said sum for costs and all costs and charges of the said distress shall be sooner paid.

................................................

[L.S] Magistrate.

本規則可引稱為《裁判官(表格)規則》。

本附表內所載的表格，是為施行本條例的訂明表格。

第I部 有關簡易程序罪行的表格 表格1 [條例第8及72條]在接獲告發或申訴後向被告人發出的傳票 案件編號︰ 被告人傳票 在香港的 裁判法院

致︰(被告人的姓名及地址)
[有人提出告發]或[有人作出申訴]，指稱你(此處述明所指稱罪行的詳情)
因此，本傳票現規定你於(日期)(時間)到裁判法院的第 號法庭，在屆時主審的裁判官席前，就

該項[告發]或[申訴]作出答辯，並依法接受進一步處置。

本傳票是根據《裁判官條例》(第227章)由裁判官或由根據該條例第8(1)條獲授權的裁判法院人員發出
的。
(傳票日期)

(1994年第59號第7條；1997年第355號法律公告)

表格1A [條例第8A條及附表4]

裁判官條例

(第227章)

規定到裁判官席前應訊通知書 ............................s......................................................................................... 裁判法院 致：

全名︰ ............................................................
!

地址︰ ............................................................
!............................................................
!............................................................

性別及年齡 *男/女 .................... (年齡) ...............

**香港身分證號碼︰ ............................................................
!(如知悉) ............................................................
!

1. 本人 .............................................................................................. (全名)， ....................................................................................................... (辦事處名稱/職階)，是《裁判官條例》(第227章)附表4所指明的公職人員，現懷疑你已犯該附表4所指明罪行，詳情如下─

指稱所犯罪行的詳情 ............................................................ ............................................................指稱所犯罪行的日期及時間 日期︰19 年 月 日 時間︰*上午/下午 時 分 指稱所犯罪行的地點 ............................................................ ............................................................

*郊野公園/特別地區 ............................................................
!(如適用) ............................................................

違反以下法例─

現按照《裁判官條例》(第227章)第8A條，將這份通知書向你送達，規定你在下列時間及地點，到裁判官席前，依法接受處置─

聆訊日期及時間︰(日期)19 ....... 年 ....... 月 ....... 日
(時間) * 上午/下午 ......... 時 ......... 分
聆訊地點︰ 法庭編號 ..........................................
............................................ 裁判法院

* 香港/九龍/ ......................................
!

2. 警告︰倘你沒有按照第1段所述的時間及地點出庭，則─

(a) 裁判官可發出手令將你逮捕；及

(b)你無論是否就上述指稱的罪行被判罪名成立，均須繳付《裁判官條例》(第227章)第8A(5)條所指明的訟費。

公職人員簽署︰ .........................................
日期︰ .........................................................

*

刪去不適用者。

**

如非香港身分證持有人，可填寫護照或其他旅遊證件號碼。 (1987年第201號法律公告；1999年第78號第7條)

表格1B

(由1987年第201號法律公告廢除)

表格2 [條例第18A、20及72條]

就傳票不獲遵從而發出的手令

香港 裁判法院

致︰香港全體及每名警務人員。

有人於19 年月日，向一名香港裁判官提出告發(或作出申訴)，指稱[內容一如傳票內所述者]，而上述裁判官隨後向上述[被告人姓名]發出傳票，飭令他於19 年 月日(星期 ) 午 時

分到上述法院，在屆時出席的裁判官席前，就上述告發(或申訴)作出答辯，並依法接受進一步處置；雖然有關人士已在宣誓(或聲明)下向本席證明上述傳票已妥為送達上述[被告人姓名]，但上述[被告人姓名]並未有在上述傳票所指定的時間及地點出庭。

因此，現飭令你們立即將上述[被告人姓名]拘捕及帶到本席面前或屆時聆案的裁判官席前，由他就上述告發(或申訴)事宜作出答辯，並依法接受進一步處置。

日期：19 年 月 日。

........................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格2A [條例第8A(3)條]

就到庭應訊通知書不獲遵行而發出的手令

香港 ............................................................................................................. 裁判法院

致︰香港全體及每名警務人員。

《裁判官條例》(第227章)附表4所指明的公職人員曾於19 ........ 年 ........ 月

........ 日* 上午/下午 ........ 時 ........ 分發出通知書予(a) ............................................
......................................................................................................................................
(地址為(b) ........................................ )，規定他於19 ........ 年 ........ 月 ........ 日* 上午/下午 ........ 時 ........ 分到

*

香港/九龍/新界 ......................... 裁判法院應訊，由屆時出席的裁判官依法處置，雖然有關人士經宣誓證明已將該通知書面交該人，但上述

(a) ............................................................................................................. ............................................................................................................................................並未依照通知書所指明的時間及地點出庭。

因此，現飭令你們立即拘捕上述(a) ................................................................. ............................................................................................................................................並將他帶到本席面前或屆時聆案的其他裁判官席前，依法接受處置。

日期︰19 ........ 年 ........ 月 ........ 日。

..................................................................[公印位置] 裁判官

* 將不適用者刪去。 註︰ (a) 填寫獲送達通知書的人的全名。

(b) 填寫獲送達通知書的人的詳細地址。 (1972年第198號法律公告；1997年第355號法律公告)

表格3 [條例第20及23條]就受擔保約束的被告人不出庭而發出的手令

香港 裁判法院致︰香港全體及每名警務人員。 有人於19 年月日向一名香港裁判官提出告發(或作出申訴或控告[被告人姓

名])，指稱被告人[此處簡述所告發、申訴或控告的事情]，而其後上述[被告人姓名]受擔保約束，須於19 年 月 日(星期 ) 午 時分到上述法院，在本席面前或屆時聆案的裁判官席前，就上述告發(或申訴或控告)作出答辯，並依法接受進一步處置；但上述[被告人姓名]並未有於指定時間及地點出庭︰ 因此，現飭令你們立即將上述[被告人姓名]拘捕及帶到本席面前或屆時出席的裁判官席前，由他就上述告發(或申訴或控告)事宜作出答辯，並依法接受進一步處置。 日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格4 [條例第9、72及74條]先行發出的手令 香港 裁判法院有人在今日向下述簽署人(一名香港裁判官)提出告發，指稱[此處簡述所告發的事情]；有關人士並在本席面前宣誓(或作出聲明)，以證實告發事項︰ 因此，現飭令你們立即將上述[被告人姓名]拘捕及帶到一名香港裁判官席前，由他就上述告發作出答辯，並依法接受進一步處置。 日期︰19 年 月 日。

..................................................................[公印位置] 裁判官

註─有關罪行如於公海(或在香港以外地方)發生，手令上須述明受害一方在罪行發生時是“在香港法院司法管轄權之內”。 (1994年第59號第8條；1997年第355號法律公告)

表格5 [條例第20及23條]

聆訊延期期間為將被告人穩妥羈押而發出的拘押令

香港 裁判法院

致︰香港全體及每名警務人員以及懲教署署長。

有人於19 年月日向下述簽署人(一名香港裁判官)提出告發，指稱[此處簡述所告發事情]； 而由於該案聆訊已延期至19 年 月 日(星期 ) 午 時

分，因此在此期間有需要將上述穩妥羈押︰

因此，現飭令你們，上述警務人員，立刻將上述 押往監獄[或其他保安地方]，並連同此令狀交予懲教署署長；現又飭令你，懲教署署長，將上述收押監獄[或其他保安地方]，穩妥羈押，直至19 年 月 日(星期 )為止；屆時你們，上述警務人員，須按照此令在該項聆訊延期至的上述日期及地點，於同日 午 時分，將他押送至本席面前或屆時出席的裁判官席前，由他就上述告發作出進一步答辯，並依法接受進一步處置，但如在此期間對你們另有命令則屬例外。

日期︰19 年 月 日。

.....................................................................[公印位置] 裁判官 (1967年第134號法律公告；1994年第59號第8條；1997年第355號法律公告)

表格6 [條例第8、20、23、31、63、64及65條]

(有擔保人)

以出庭作為條件的擔保書

香港 裁判法院不履行本擔保書上所批註的條件，我們即須付予政府以下各筆款項，即上述 以主事人身分須繳付一筆 的款項，以及上述 及 以擔保人身分每人須繳付一筆的款項，而以上各筆款項可從我們各別的財物、土地及物業中徵取。

簽署(如非以口頭方式作出) ..................................................................
!..................................................................
!..................................................................

於19 年 月 日在本人面前(以口頭方式)作出。

..................................................................[公印位置] 裁判官 經由本人解釋 (或裁判官書記或警 司或警務督察或懲 教署署長，視屬何 情況而定)

.......................................... 經宣誓的傳譯員

批註條件

本項擔保的條件為︰如受擔保約束的 ，在19 年月 日(星期 ) 午 時分到上述法院在屆時聆案的裁判官席前，就對他提出的控告作出(進一步)答辯，並依法接受(進一步)處置(或於被傳召時到

在屆時聆案的裁判官席前聽候判處)，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格7 [條例第20、23、31、63、64及65條]

(個人擔保)

以出庭作為條件的擔保書

香港 裁判法院

本人，下述簽署人 (地址為 )，現承諾如本人，即上述 不履行本擔保書上所批註的條件，即須付予政府一筆的款項，而該筆款項可從本人的財物、土地及物業中徵取。

簽署(如非以口頭方式作出)︰ ..................................................................於19 年 月 日在本人面前(以口頭方式)作出。

..................................................................[公印位置] 裁判官

經由本人解釋 (或裁判官書記或警 司或警務督察或懲 教署署長，視屬何

情況而定) ............................................ 經宣誓的傳譯員

批註條件

本項擔保的條件為︰如受擔保約束的 ，在19 年月 日(星期 ) 午 時分到上述法院在屆時聆案的裁判官席前，就對他提出的控告作出(進一步)答辯，並依法接受(進一步)處置(或於被傳召時到在屆時聆案的裁判官席前聽候判處)，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格8 [條例第20、23、31、63、64及65條]

(存入款項並有擔保人)

以出庭作為條件的擔保書

香港 裁判法院

本人，下述簽署人 (地址為

)，現存入一筆的款項，並承諾如本人不履行本擔保書上所批註的條件，本人即須付予政府該筆款項；而我們，下述簽署人

(地址為 )，及 (地址為 )，現各別承諾如上述 不履行本擔保書上的批註條件，我們作為擔保人即須付予政府以下各筆款項，即上述須繳付一筆 的款項，及上述 須繳付一筆 的款項，而以上各筆款項可從我們各自的財物、土地及物業中徵取。

簽署(如非以口頭方式作出) ..................................................................
!..................................................................
!..................................................................

於19 年 月 日在本人面前(以口頭方式)作出。

..................................................................[公印位置] 裁判官

經由本人解釋 (或裁判官書記或警 司或警務督察或懲 教署署長，視屬何

情況而定) ........................................ 經宣誓的傳譯員

批註條件

本項擔保的條件為︰如受擔保約束的 ，在19 年月 日(星期 ) 午時到上述法院在屆時聆案的裁判官席前，就對他提出的控告作出(進一步)答辯，並依法接受(進一步)處置，則擔保即告無效，否則仍具十足效力。

附註─如擔保以口頭作出，刪去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格9 [條例第20、23、31、63、64及65條](個人擔保並存入款項)

以出庭作為條件的擔保書

香港 裁判法院

本人，下述簽署人 (地址為 )，現存入一筆的款項，並承諾如本人不履行本擔保書上所批註的條件，即須付予政府該筆款項。

簽署(如非以口頭方式作出) ............................................................... 於19 年 月 日在本人面前(以口頭方式)作出。

..................................................................[公印位置] 裁判官

經由本人解釋 (或裁判官書記或警司或警務督察或懲 教署署長，視屬何

情況而定)

............................................
經宣誓的傳譯員

批註條件

本項擔保的條件為︰如受擔保約束的 ， 在19 年 月 日(星期 ) 午時分到上述法院在屆時聆案的裁判官席前，就 對他提出的控告作出(進一步)答辯，並依法接受(進一步)處置，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格10 [條例第36條]

(有擔保人)

保證行為良好及保證出庭聽候定罪及判處 或聽候判處的擔保書

香港 裁判法院

我們，下述簽署人 (地址為 )，
(地址為 )，及
(地址為 )

現各別承諾如上述主事人 不履行本擔保書上所批註的條件，我們即須付予政府以下各筆款項，即上述

以主事人身分須繳付一筆 的款項，及上述及以擔保人身分每人須繳付一筆的款項，而以上各筆款項可從我們各別的財物、土地及物業中徵取。

簽署(如非以口頭方式作出) ..................................................................
!..................................................................
!..................................................................

於19 年 月 日在本人面前(以口頭方式)作出。

..................................................................[公印位置] 裁判官書記 經由本人解釋

............................................
經宣誓的傳譯員

批註條件

本項擔保的條件為︰如受擔保約束的主事人在由現時起的一段 期間保持行為良好，並在該段期間內被傳召時到屆時聆案該裁判法院或其他裁判法院的裁判官席前，聽候定罪及判處或聽候判處，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格11 [條例第36條]

(個人擔保)

保證行為良好及保證出庭聽候定罪及判處 或聽候判處的擔保書

香港 裁判法院

本人，下述簽署人 (地址為 )，現承諾如本人不履行本擔保書上的批註條件，即須付予政府一筆 的款項，而該筆款項可從本人的財物、土地及物業中徵取。

簽署(如非以口頭方式作出) ..................................................................於19 年 月 日在本人面前(以口頭方式)作出。

..................................................................[公印位置] 裁判官書記 經由本人解釋

............................................
經宣誓的傳譯員

批註條件

本項擔保的條件為︰如受擔保約束的人在由現時起的一段期間保持行為良好，並在該段期間內被傳召時到屆時在該裁判法院或其他裁判法院聆案的裁判官席前，聽候定罪及判處或聽候判處，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格11A [條例第36條]

就感化期間或有條件釋放期間 的再次犯罪而發出的拘押令

香港 裁判法院

致︰香港全體及每名警務人員以及香港懲教署署長。

被告人 (以下稱為被告人)於19 年 月 日被 ........ ........................裁判法院判[簡述罪行詳情]罪名成立，而在同一日[或在19 年 月 日]上述法院作出感化令，規定令他/ 她在該日起的[年數]期間內接受一名感化主任的監管[或頒令予以釋放，條件是他/ 她在該日起的 年期間內不再犯罪]︰

被告人今日來到(或被帶到)本席面前，而本席信納他/ 她已於19 年 月 日經 ............................... 裁判法院(或 .......................... 區域法院或原訟法庭)就另一項罪行，即(簡述罪行詳情)，被判罪名成立，犯罪日期在上述期間內，即19 年 月 日︰

[(或)本席今日判被告人就另一項罪行，即 (簡述罪行情節)，罪名成立，並信納該罪行是他/ 她在上述期間，於19 年 月 日所犯的]︰

現經判決，上述命令所涉罪行的被告人須於香港的一所監獄內受監禁為期 ︰

因此，現飭令你們，上述警務人員，將被告人押往監獄，並連同此手令交予懲教署署長；現又飭令你，懲教署署長，將被告人收押監獄，監禁期為 ︰上述任務可憑此手令予以執行。

日期︰19 年 月 日。

..................................................................裁判官 [公印位置] (1972年第200號法律公告；1994年第59號第8條；1998年第25號第2條)

表格12 [條例第64條]致主事人關於擔保的承諾須予履行的通知書 香港 裁判法院(經 提出申訴後，)本法院今日判決你在19 年 月 日作出的擔保的承諾須予履行，你須立即 (或在19 年 月日或之前) 繳付該筆的款項(及一筆 的款項作為訟費)。 如不立即 (或在指定日期或之前) 繳付該筆款項，本法院即可扣押你的金錢及財物作為抵償，不再另行通知。 日期︰19 年 月 日。

..................................................................裁判官書記 [公印位置]

表格13 [條例第31及64條]

在擔保書上批註的擔保的承諾須予履行的證明書

鑑於本文件內所述姓名為 的人沒有按有關條件所述的時間及地點出庭[或視屬何情況而定]，現證明載於擔保書內的擔保的承諾須予履行。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官

表格14 [條例第21及22條]

證人傳票

香港 裁判法院

致︰

鑑於有人向一名香港裁判官提出告發(或作出申訴)，指稱[內容一如發給被告人的傳票內所述]，而本席根據情況顯示，覺得你相當可能會為告發人(或申訴人或被告人或被控人)在這方面作出具關鍵性的證供︰

因此，現規定你 ─

(a) 於19 年 月 日(星期 ) 午 時 分到上述法院，在屆時出席的裁判官席前；及

(b)在該裁判官所指示的日期及時間到上述法院該裁判官席前，直至需要你出席的法律程序完

結為止， 就你對上述告發(或申訴)所知事項作證。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第7及8條)

表格15 [條例第21及22條]

因證人不遵照傳票規定出庭而發出的手令

香港 裁判法院

致︰香港全體及每名警務人員。

鑑於有人向一名香港裁判官提出告發(或作出申訴)，指稱[內容一如發給被告人的傳票內所述]，而有關情況令人覺得 (地址為 )，相當可能會為告發人(或申訴人或被告人或被控人)作出具關鍵性的證供，上述裁判官已向上述

妥為發出傳票，規定他在19 年 月 日(星期 )

午 時 分到上述法院，就他對上述 或上述告發(或申訴)所知事項在屆時出席的裁判官席前作證；今日有關人士在宣誓(或聲明)下向本席證明已將該傳票妥為送達上述 ，並已提出向他付給一筆合理數額的款項，以支付其有關方面的費用及開支；但上述

已拒絕或忽略按照上述傳票所指定的時間及地點出庭，亦未有對其拒絕或忽略一事作出確當的辯解︰

因此，現飭令你們將上述 於19 年 月 日(星期 ) 午 時 分帶到上述法院，由他在屆時出席的裁判官席前，就他對上述告發(或申訴)所知事項作證。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格16 [條例第21、22及78條]

先行發出的證人出庭令

香港 裁判法院

致︰香港全體及每名警務人員。

鑑於有人向一名香港裁判官提出告發(或作出申訴)，指稱[內容一如發給被告人的傳票內所述]；而有關人士亦在宣誓(或聲明)下令本席覺得︰ (地址為 )，相當可能會就該事為告發人(或申訴人或被告人或被控人)作出具關鍵性的證供，但上述 頗有可能需在強制下才會出庭作證︰

因此，現飭令你們於19 年 月 日(星期 ) 午 時 分將上述 帶到上述法院，由他在屆時出席的裁判官席前就他對上述告發(或申訴)所知事項作證。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格17 [條例第21、22及78條]

因證人拒絕宣誓或拒絕作證而發出的拘押令

香港 裁判法院

致︰香港全體及每名警務人員以及懲教署署長。

鑑於有人向一名香港裁判官提出告發(或作出申訴或控告 )，指稱[內容一如發給被告人的傳票內所述]；而 於19 年 月 日(星期 )在上述法院本席面前，由本人要求他就該案以證人身分宣誓(或聲明)時，他拒絕遵行，(或以證人身分就上述告發或申訴或控告宣誓或聲明後)拒絕回答若干問題，但又不能就拒絕一事作出任何確當的辯解︰

因此，現飭令你們，上述警務人員，將上述 穩妥地押往監獄，並連同此手令交予懲教署署長；現又飭令你，懲教署署長，以其藐視法庭罪將上述 收押監獄，監禁期為 天，除非他在此期間同意就有關事項接受訊問及作答；上述任務可憑此手令予以執行。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格18 [條例第20及79條]

將被拘捕的被告人還押的手令

香港 裁判法院

致︰香港全體及每名警務人員以及懲教署署長。

鑑於有人向一名香港裁判官提出告發(或作出申訴或控告 )，指稱[內容一如發給被告人的傳票內所述]；而現已根據及憑藉就該項告發(或申訴或控告)而發出的手令，將上述帶到本席面前︰

因此，現飭令你們，上述警務人員，立即將上述

押往監獄[或其他保安地方]，並連同此手令交予懲教署署長；同時飭令你，懲教署署長，將上述 收押監獄[或其他保安地方]，穩妥看管，直至19 年 月 日(星期 )為止；現又飭令你們，上述警務人員，在該日 午 時 分，將該人帶往上述法院，由他在屆時出席的裁判官席前，就上述告發(或申訴或控告)答辯，並依法接受進一步處置。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1967年第134號法律公告；1994年第59號第8條；1997年第355號法律公告)

表格19 [條例第34及81條]

紀錄及證人供詞

香港 裁判法院

香港根據 的告發(或申訴)

訴 的案件，

現由香港裁判官 先生於上述法院審理。

現 (地址為 )[商人]及(地址為 )[工人]於今日19 年 月 日在宣誓(或聲明)下於上述法院在下述簽署人，一名香港裁判官席前接受訊問，有關訊問是在在場及聽得到的情況下進行，而該人今日被 在[本席]面前提出告發(或作出申訴或控告)，指稱他，上述 ，於19 年 月 日在[述明在告發、傳票或拘押令內所述的罪行]。

證人 在宣誓(或聲明)下供述如下︰ [以盡量接近證人所用言詞寫下證人的供詞。如該罪行是一項可公訴罪行，則錄取供詞完畢後，由該名證人在其上簽署]。

..................................................................[公印位置] 裁判官

註─如已判處罰款，須附有向法院繳付罰款的紀錄。 (1994年第59號第8條；1997年第355號法律公告)

表格20 [條例第28及69條]

判處罰款並以扣押財物等方式徵取，以及在無 足夠扣押物的情況下判處監禁的定罪書

香港 裁判法院

由一名香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 (以下稱為被告人)被控於19 年 月 日在[述明有關罪行]，今日在上述法院席前被判罪名成立；現判決被告人須就上述罪行繳付款項[述明須繳付的罰款及任何訟費或補償]，而此筆款項將依法付交及運用；倘上述款項未有隨即獲得繳付(或未有在19 年

月 日或該日之前獲得繳付，或未有按分期付款方式獲得繳付，該方式即為每期 ，每 天為一期，首期款額須隨即或在19 年 月 日繳付)，

*

(則須以扣押及售賣被告人的財物及實產方式徵取上述款項，而倘被告人無足夠扣押物，則須)

*

(而由於本席根據情況顯示，覺得若因此而發出財物扣押令，會對被告人及其家庭有嚴重損害，故須)

*

(而由於本席根據情況顯示，覺得被告人並無財物或實產可供扣押以徵取上述款項，故須)

*

(而由於本席認為不宜發出財物扣押令，故須)將被告人監禁於香港的一所監獄，監禁期為 ，除非上述款項(及上述扣押財物[及將被告人拘押及送往監獄]的一切費用及收費) 獲得較早繳付。

..................................................................[公印位置] 裁判官

* 刪去不適用者。 (1994年第59號第8條)

表格21 [條例第28、41、51及69條]

判處罰款並以扣押財物方式徵取，及在無 足夠扣押物的情況下判處監禁的定罪書

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 (以下稱為被告人)被控於19 年 月 日在[述明有關罪行]，今日在上述法院席前被判罪名成立；現判決被告人須就上述罪行繳付款項[述明須繳付的罰款及任何訟費或補償]，而此筆款項將依法付交及運用；倘上述款項未有隨即獲得繳付 (或未有在19 年 月日或該日之前獲得繳付，或未有按分期付款方式獲得繳付，該方式即為每期 ，每 天為一期，首期款額須隨即或在19 年 月 日繳付)，則須以扣押及售賣被告人的財物方式徵取上述款項；而在被告人無足夠扣押物的情況下，則須將被告人監禁於香港的一所監獄，監禁期為，除非上述款項及上述扣押財物的一切費用及收費獲得較早繳付。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格22 [條例第28、41及69條]

判處罰款並在欠付罰款的情況 下判處監禁的定罪書

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 (以下稱為被告人)被控於19 年 月 日在[述明有關罪行]，今日在上述法院席前被判罪名成立；現判決被告人須就上述罪行繳付款項[述明須繳付的罰款及任何訟費或補償金]，而此筆款項將依法付交及運用；倘上述款項未有隨即獲得繳付(或未有在19 年月日或該日之前獲得繳付，或未有按分期付款方式獲得繳付，該方式即為每期 ，每 天為一期，首期款額須隨即或在19 年

月 日繳付)，則須將被告人監禁於香港的一所監獄，監禁期為 ，除非上述款項獲得較早繳付。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格23 [條例第28、41及69條]

判處監禁兼付訟費的定罪書

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 (以下稱為被告人)被控於19 年 月 日在[述明有關罪行]，今日在上述法院席前被判罪名成立；現判決被告人須就上述罪行在香港的一所監獄受監禁，監禁期為 ；此外，又判決被告人須付予上述 一筆 的款項作為訟費；倘上述數額的訟費未有隨即(或未有在19 年 月日或該日之前) 獲得繳付，

*

(則須以扣押及售賣被告人的財物及實產方式徵取上述款項，而倘被告人無足夠扣押物，則須)

*

(而由於本席根據情況顯示，覺得若因此而發出財物扣押令，會對被告人及其家庭有嚴重損害，故須)

*

(而由於本席根據情況顯示，覺得被告人並無財物或實產可供扣押以徵取上述款項，故須)

*

(而由於本席認為不宜發出財物扣押令，故須)由上述監禁期滿之日起將被告人監禁於香港的一所監獄，監禁期為 ，除非上述數額的訟費及上述扣押財物的一切費用及收費獲得較早繳付。

..................................................................[公印位置] 裁判官

* 刪去不適用者。 (1994年第59號第8條)

表格24 [例第28條] 判處監禁但無須兼付訟費的定罪書

香港 裁判法院由香港裁判官 先生於上述法院審理。 19 年 月 日。 被告人 (以下稱為被告人)被控於19 年 月 日在

[述明有關罪行]，今日在上述法院席前被判罪名成立；現判決被告人須就上述罪行在香港的一所監獄受監禁，監禁期為 。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格25 [條例第28及41條]飭令須就付款作出保證的定罪書或命令 香港 裁判法院

[填寫內容一如一般定罪書或命令所載者，下至付款時間的指示部分，但接着加入下文，而非填寫有關扣押財物或監禁的指示]─ 現命令為保證按上述指示付款，可作出令裁判官

(或其他指定姓名的人)滿意的保證，保證款額為，另須由2名(或1名)擔保人擔保，保證款額為[每人] 。

..................................................................[公印位置] 裁判官 表格26 [條例第28、36及41條]

被告人作出擔保保證行為良好及 出庭後獲有條件釋放

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 (以下稱為被告人)被控於19 年 月 日在[述明有關罪行]，今日在上述法院席前被判有罪(及罪名成立)；但由於本席認為不宜對被告人施以任何懲罰(或任何象徵式懲罰以外的懲罰)，而被告人已在無須有(或須有)擔保人的條件下作出擔保，款額為$ ，以保證行為良好及在 年(月)內隨時待召出庭聽候定罪及判處(或聽候判處)，故此現在有條件釋放被告人，並命令被告人須立即付予上述

一筆的款項作為補償(或損害賠償)及一筆 的款項作為訟費[如法院有此命令](或在19 年 月日或該日之前繳付上述款項，或按分期付款方式繳付上述款項，即每期 ，每 天為一期，首期款額須於19 年 月 日或該日之前繳付)。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格27 [條例第28、41及55條]

付款令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

現經 作出申訴，指稱 (以下稱為被告人)[述明令申訴人取得此令的事實依據，包括事件發生的時間及地點]，而上述各方已出庭(或上述 已出庭，但被告人雖已獲妥為傳召，但沒有自行出庭，亦沒有委派代表律師出庭，而現經有關人士在宣誓(或聲明)下向本席充分證明被告人已獲妥為送達有關的傳票，而該傳票載明被告人須於今日到本裁判法院，在現時出席的裁判官席前就上述申訴作出答辯，並依法接受進一步處置)；現聆聽上述申訴事項後，判決並命令被告人須立即(或在19 年 月日或該日之前或按成文法則的規定)付予上述 一筆的款項，並須付予上述 一筆的款項作為訟費；倘上述各筆款項未有立即(或未有在19 年 月日或該日之前)獲得繳付，則須將被告人監禁於本港的一所監獄，監禁期為，除非上述各筆款項獲得較早繳付。

..................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格27A

根據《定額罰款(交通違例事項)條例》(第237章) 第22(2)條須繳付款項等的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

現經律政司司長作出申訴，指稱 (以下稱為被告人)[述明令申訴人取得此令的事實依據，包括事件發生的時間及地點]，而上述各方已出庭(或律政司司長的代表律師已出庭，但被告人雖已獲妥為傳召，但沒有自行出庭，亦沒有委派代表律師出庭，而現經有關人士向本席充分證明被告人已獲妥為送達有關的傳票，而該傳票載明被告人須於今日到本裁判法院，在現時出席的裁判官席前就上述申訴作出答辯，並依法接受進一步處置)；現聆聽上述申訴事項後，判決並命令 ─

(a) 被告人須立即在本法院繳存一筆$ 的款項，即定額罰款 $ [，附加罰款$ ]及一筆$ 的款項作為訟費；

(b) 運輸署署長在被告人仍未付清上述判決須繳的款項的情況下─

(i) 即使接獲有關登記號碼為的汽車過戶通知書，亦不得根據《道路交通(車輛登記及領牌)規例》(第374章，附屬法例E)第17條第(3)、(3A)、(4)或(5)款採取行動；

(ii) 須拒絕根據上述規例第21條第(3)、(5)或(6)款發牌給上述汽車；及

(iii) 須拒絕發給被告人駕駛執照或拒絕為其駕駛執照續期(視屬何情況而定)。

..................................................................

[公印位置] 裁判官 (1970年第150號法律公告；1984年第413號法律公告；1994第59號第8條；1997年第362號法律公告；2005年第25號第32條)

表格28 [條例第101A條]傳召被告人出庭就為何不應發出拘押令提出因由的傳票 香港 裁判法院

[或鑑於法院在19 年 月 日判決[被告人姓名]須付給 一筆 的款項，此外另須付給上述 一筆 的款項作為訟費︰] 且鑑於你曾獲准在 天之內繳付上述款項，而該段期限現已屆滿︰ 且鑑於上述款項仍未繳付︰ 因此，現飭令你在19 年 月 日(星期 ) 午 時分到上述法院，在屆時出席的裁判官席前，就為何不應發出拘押令提出因由，並依法接受進一步處置。 倘你屆時不出庭，可發出手令將你拘捕，特此通知。 日期︰19 年 月 日。

..................................................................[公印位置] 裁判官

表格29 [條例第101A條]

因不繳付罰款而發出的拘捕令

香港 裁判法院致︰香港全體及每名警務人員。 鑑於[被告人姓名]在19 年 月 日被裁定犯了一項違反 的罪行罪名成立，並

被判處罰款 ︰ [或鑑於[被告人姓名]在19 年 月 日被判決須付予 一筆

的款項，並須付予上述 一筆 的款項作為訟費︰] 且鑑於上述[被告人姓名]曾獲准在 天之內繳付上述款項，而該段期限現已屆滿︰ 且鑑於上述款項仍未繳付︰ 因此，現飭令你們立即拘捕上述[被告人姓名]，並將他帶到一名香港裁判官席前，由他就為何

不應發出拘押令提出因由，並依法接受進一步處置。 日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格30 [條例第28、41及51條]

以扣押財物方式徵取款項，而倘扣押財物無法達成， 則判處監禁的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

現經 作出申訴，指稱 (以下稱為被告人)[述明令申訴人取得此令的事實依據，包括事件發生的時間及地點]；而上述各方已出庭(或上述

已出庭，但被告人雖已獲妥為傳召，但沒有自行出庭，亦沒有委派代表律師出庭，而現經有關人士在宣誓(或聲明)下向本席充分證明被告人已獲妥為送達有關的傳票，該傳票載明被告人須在今日到本裁判法院，在現時出席的裁判官席前就上述申訴事宜答辯，並依法接受進一步處置)；而現聆聽上述申訴事項後，判決並命令被告人須立即(或在19 年 月 日或該日之前或按成文法則的規定)付予上述 一筆 的款項，另須付予上述

一筆 的款項作為訟費，倘上述各筆款項未有立即(或未有在19 年 月 日或該日之前)獲得繳付，

*

(則須以扣押及售賣被告人的財物及實產方式徵取上述款項，而倘被告人無足夠扣押物，則須)

*

(而由於本席根據情況顯示，覺得若因此而發出財物扣押令，會對被告人及其家庭有嚴重損害，故須)

*

(而由於本席根據情況顯示，覺得被告人並無財物或實產可供扣押以徵取上述款項，故須)

*

(而由於本席認為不宜發出財物扣押令，故須)將被告人監禁於香港的一所監獄，監禁期為 ，除非上述款項及上述扣押財物的一切費用及收費獲得較早繳付。

..................................................................[公印位置] 裁判官

*

刪去不適用者。 (1994年第59號第8條；1997年第355號法律公告)

表格31 [條例第28及41條]

就任何事情(民事債項付款事宜除外)發出可對 不遵守命令者判處監禁的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

現經 作出申訴，指稱 (以下稱為被告人)[述明令申訴人取得此令的事實依據，包括事件發生的時間及地點]；而上述各方已出庭(或上述

已出庭，但被告人雖已獲妥為傳召，但沒有自行出庭，亦沒有委派代表律師出庭，而現經有關人士在宣誓(或聲明)下向本席充分證明被告人已獲妥為送達有關的傳票，該傳票載明被告人須在今日到本裁判法院，在現時出席的裁判官席前就上述申訴作出答辯，並依法接受進一步處置)；現聆聽上述申訴事項後，判決並命令被告人須[述明須做的事情]；倘若已將一份本命令的紀錄面交被告人或留在被告人最後或最通常居住的地方，而被告人拒絕或忽略遵守本命令，則須將被告人監禁於香港的一所監獄，監禁期為 ，除非被告人較早遵從本命令[如成文法則作此授權]；此外，又判決並命令被告人須為此立即(或在19 年 月日或按分期付款方式等)付予申訴人一筆 的款項作為訟費；倘被告人未有依照本判決或命令繳付該筆訟費，則須以扣押及售賣被告人的財物方式徵取該筆款項；而倘被告人無足夠扣押物，則須由上述監禁期屆滿之日起將被告人監禁於一所監獄，監禁期為 ，除非上述款項及上述扣押財物的一切費用及收費獲得較早繳付。

..................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格32 [條例第19、2841及69條]

撤銷告發或申訴的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

現經有人向下述簽署人提出告發(或作出申訴)，指稱[內容一如發給被告人的傳票內所述者]，而上述各方已到本席面前，以便由本席聆訊及裁定上述告發(或申訴)(或被告人已到本席面前，但上述雖已獲妥為傳召，但沒有出庭)；而本席經妥為考慮上述告發(或申訴)事項後，覺得上述告發(或申訴)未能獲得證實，因此現予以撤銷；並判決上述須付予被告人一筆的款項，作為被告人為其抗辯所招致的訟費；倘上述數額的訟費未有立即(或未有在19

年 月日或該日之前)繳付，則須將上述 的財物及實產扣押及售賣，以徵取該筆款項，而倘無足夠扣押物，則須將上述 監禁於香港的一所監獄，監禁期為 ，除非上述數額的訟費及上述扣押財物的一切費用及收費獲得較早繳付。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格33 [條例第28、36及41條]

將罪犯釋放但指示他須繳付損害賠償或 訟費或須兩者兼付的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 (以下稱為被告人)因的告發(或申訴)而被控告，罪名為他於19 年月 日在 [述明有關罪行]；現在本席認為上述控罪雖已獲得證實，但由於該罪行性質輕微 (或顧及被告人的秉性、經歷、年齡、健康或精神狀況或任何其他可使罪責減輕的情況(視屬何情況而定))，不宜處以任何懲罰，因此本席將該罪犯釋放。

[如命令繳付損害賠償或訟費，則接下文]─

此外，本席命令被告人須付予上述 一筆 款項作為損害賠償及一筆的款項作為訟費；上述款項須立即繳付(或在19 年

月 日或該日之前繳付，或按分期付款方式繳付，即每期，每 天為一期，首期款額須立即或在19 年 月 日或該日之前繳付)；倘被告人未有依期繳付款項[下文內容一如判處罰款並以扣押財物方式徵取的定罪書所載者]。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格34 [條例第28、36、41及61條]

須作出擔保以保證遵守法紀或保持行為 良好的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

現經 作出申訴，指稱 (以下稱為被告人)[述明令申訴人取得此令的事實依據，包括事件發生的時間及地點]；被告人已出庭，而在聆聽上述申訴事項後，本席今日判決並命令被告人須立即以一筆 的款項作出擔保，並須有 擔保人擔保，擔保金額[每人]，以保證由現時起計的一段 期間，被告人會遵守法紀或對申訴人保持行為良好；而倘被告人不遵從本命令，則須將被告人監禁於香港的一所監獄，監禁期為 ，除非被告人較早遵從本命令。

[如命令繳付訟費，則接下文]─

此外，本席亦判決及命令被告人須立即(或在19 年 月日或該日之前或按分期付款方式等) 付予上述 一筆的款項作為訟費；倘被告人未有依照本判決及命令付款，則須[下文內容一如判處罰款並以扣押財物方式徵取的定罪書所載者]。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格35 [條例第61及65條]

(須有擔保人)

以遵守法紀或行為良好或不作出某種 作為或事情為條件的擔保書

香港 裁判法院

我們，下述簽署人 (地址為 )， (地址為 )，及 (地址為 )，現各別承諾如上述

不履行本擔保書上所批註的條件，我們即須付予政府以下各筆款項，即上述 作為主事人須付一筆 的款項，而上述 及 作為擔保人每人須付一筆 的款項，而上述各筆款項可從我們各別的財物、土地及物業中徵取。

簽署(如非以口頭方式作出) ....................................................................
!....................................................................
!....................................................................

於19 年 月 日在本人面前(以口頭方式)作出。

.................................................................. [公印位置] 裁判官

經由本人解釋 (或裁判官書記或警 司或警務督察或懲 .............................................. 教署署長，視屬何

經宣誓的傳譯員 情況而定)

批註的條件

本項擔保的條件為︰如受擔保約束的 由現時起計的一段期間內遵守法紀或對 (地址為 )保持行為良好(或不做違禁的事

情，或視屬何情況而定)，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

表格36 [條例第61及65條]

(個人擔保)

以遵守法紀或行為良好或不作出某種 作為或事情為條件的擔保書

香港 裁判法院

本人，下述簽署人 (地址為 )，現承諾如本人不履行本擔保書上所批註的條件，即須付予政府一筆 的款項，而該筆款項可從本人的財物、土地及物業中徵取。

簽署(如非以口頭方式作出) ..................................................................

於19 年 月 日在本人面前(以口頭方式)作出。

.................................................................. [公印位置] 裁判官

經由本人解釋 (或裁判官書記或警 司或警務督察或懲 .............................................. 教署署長，視屬何

經宣誓的傳譯員 情況而定)

批註的條件

本項擔保的條件為︰如受擔保約束的 由現時起計的一段期間遵守法紀或對 (地址為 )保持行為良好(或不做違禁的事情，或視屬何情況而定)，則擔保即告無效，否則仍具十足效力。

註─如擔保以口頭方式作出，略去“下述簽署人，並在末段內“作出”前面加上“以口頭方式”。 (1997年第355號法律公告)

第 227C章 -裁判官 (表格)規則

表格37 [條例第65條]

據稱因主事人被定罪以致擔保的承諾須予履行時 向受擔保約束的人發出的傳票

香港 裁判法院

致︰ (地址為 )。

本席，即下述簽署人 (一名香港裁判官) 現傳召你在19 年 月 日

午 時 分到，在本席或屆時出席的裁判官席前，就為何不應判決你於19 年 月日以一筆 的款項作出的擔保的承諾須予履行，及為何你不應被判決須繳付該筆款項提出因由。

日期︰ 19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格38 [條例第28、41及65條]因主事人被定罪而違反擔保條件以致作 出擔保的承諾須予履行的判決

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

被告人 [以下稱為被告人]於19 年 月日以一筆的款項作出擔保。擔保條件為 (地址為 )，須[述明擔保條件]；現經證明上述 已被判[述明有關罪行]罪名成立，而該罪行在法律上違反上述擔保的條件。

因此，現判決上述擔保的承諾須予履行，被告人須向裁判官書記[或其他指明人士]繳付該筆的款項，並須付予 一筆 的款項作為訟費。現又命令上述款項須立即繳付(或在 19 年 月日或該日之前繳付，或按分期付款方式繳付，即每期 ，每 天為一期，首期款額須立即或在19 年 月 日或該日之前繳付)；倘被告人未有依照本判決及命令付款，則命令[下文內容一如判處罰款並以扣押財物方式徵取的定罪書所載者，或予以略去(視屬何情況而定)]。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格39 [條例第28及65條]

撤銷或寬減因擔保的承諾須予履行而須繳的款項 的命令(須在擔保書上作批註)

香港 裁判法院

由香港裁判官 先生於上述法院審理。

鑑於法院已於19 年 月 日發出一項財物扣押令，以徵取根據載於擔保書內的規定而宣告沒收的款項 ，但至今並無財物根據上述扣押令售出，而上述已向本席，即下述簽署人，申請撤銷(或寬減)因該項擔保的承諾須予履行而須繳的款項，並作出令本席滿意的保證以確保日後履行有關擔保條件，以及已繳付(或作出保證以繳付)因擔保的承諾須予履行所招致的費用[或填寫裁判官認為公正的其他條件]。

因此，現撤銷因擔保的承諾須予履行而須繳的款項(或將須繳的款項減至 )。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格40 [條例第62條]

就申請更改擔保人保證金額或免除擔保人 一事而傳召出席該宗申請的傳票

香港 裁判法院致︰ (地址為 )。

現傳召你於19 年 月 日(星期 ) 午 時分到屆時聆案的一名香港裁判官席前，就為何不應減少所建議的名擔保人， (地址為 )所承擔的保證金額(或為何不應免除上述提供 名擔保人的責任)提出因由。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格41 [條例第62條]

更改提供擔保人命令的命令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

已因其未能提供 名擔保人以承擔保證金 而被有關人員根據本法院於19 年 月日所發出的拘押令押交監獄。現已有人向本席提出新證據，(或已向本席證實情況有所改變)，以致本席認為為公正起見，應將發出上述拘押令所依據的命令更改如下︰

因此，現命令將所建議上述 的 名擔保人所須承擔的保證金額減至(或免除上述 提供 名擔保人的責任)[或內容一如所指示者]。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格42 [條例第41及64條]

保證繳付因定罪而判決的 款項的口頭或書面承諾

香港 裁判法院

被告人 (以下稱為被告人)在今日(或在19 年 月 日)在上述法院席前被判罪名成立，其罪名為他於19 年 月 日在

[述明有關罪行]，而該定罪判決被告人須繳付(內容一如定罪書所載者)，上述法院亦因此命令被告人可向一名香港裁判官作出令其滿意的保證(或內容一如定罪書所載者)，即提供保證金額 並由 名擔保人，

[每人]承擔一筆 的款項，以保證上述款項會按照該定罪所指示的時間及方式繳付︰

因此，本人，即上述被告人作為主事人，以及我們， (地址為 )，及

(地址為 )，作為擔保人，(或本人 (地址為 )，作為擔保人)，現保證被告人會依照該定罪所指示的時間及方式繳付所判決的款項；而本人，即上述被告人，以及我們(或本人)，即上述擔保人，現各別承諾，倘被告人不履行此項保證，我們(或本人)須向裁判官書記[或其他指明人士]繳付一筆 的款項。

簽署(如非以口頭方式作出) .................................，被告人

^} 擔保人

[公印位置] 裁判官

經由本人解釋

................................................
經宣誓的傳譯員

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。 (1994年第59號第8條；1996年第139號法律公告)

表格43 [條例第65條]擔保的承諾須予履行後保證履行擔保條件的口頭或書面承諾

香港 裁判法院

於19 年 月 日以一筆的款項作出擔保，擔保條件為須[述明擔保條件]；由於該人未有履行擔保條件，上述擔保的承諾遂於19 年月 日被宣告須予履行，而由於上述 仍未繳付上述款項，因此法院在19 年月 日發出一項財物扣押令，以追討上述款項，但至今並無財物根據上述扣押令售出，而上述已向下述簽署人，即一名香港裁判官，申請撤銷或寬減因擔保的承諾須予履行而須繳的款項︰

因此，本人，即上述 作為主事人，及我們 ， (地址為 )及

(地址為 )(或本人(地址為))作為擔保人，現保證上述擔保的條件會妥為履行，[以及上述 會在19 年 月日或該日之前繳付一筆的款項，作為因擔保的承諾須予履行所招致的費用]；而本人，即上述被擔保人，以及我們(或本人)，即上述擔保人，現各別承諾，倘上述主事人不履行上述擔保的條件，我們(或本人)須向裁判官書記[或其他指明人士]繳付一筆 的款項。

簽署(如非以口頭方式作出) .................................，被告人

^} 擔保人

[公印位置] 裁判官

經由本人解釋

................................................
經宣誓的傳譯員

註─如擔保以口頭方式作出，略去“下述簽署人”，並在末段內“作出”前面加上“以口頭方式”。

(1994年第59號第8條)

表格44-45

(由1997年第47號第10條廢除)

表格46 [條例第93條]歸還財物令

香港 裁判法院

由香港裁判官 先生於上述法院審理。

19 年 月 日。

在本席(一名香港裁判官) 面前被控於19 年 月 日在[如定罪書般述明有關罪行及描述有關財物]，而經簡易程序審理後，上述 今日在本席面前被判上述控罪罪名成立。而該等財物亦獲證明是現正由 (地址為 )所管有︰

因此，現在命令上述 須立即將該等財物歸還其擁有人，即上述 。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格47 [條例第19條]

撤銷案件證明書

香港 裁判法院

關於針對 提出的告發(或申訴)，指稱[內容一如向被告人發出的傳票內所述者]，本席現證明，該項告發(或申訴)經於今日由本席(一名香港裁判官)考慮，並由本席予以撤銷[並判令付給訟費]。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格48 [條例第51條]

因定罪而判處罰款(不論是否兼判處付給訟費或損害賠償)， 或只判處付給訟費或損害賠償而不判處罰款 後所發出的財物扣押令

香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]以及香港全體及每名警務人員。

被告人 (以下稱為被告人)於19 年 月日在上述法院席前被判罪名成立，罪名為他於19 年 月 日在 [述明有關罪行]；上述法院亦判決被告人須就上述罪行繳付罰款* [罰款款額]，並須向上述繳付一筆的款項作為補償以及繳付一筆

的款項作為訟費 上述法院又命令上述款項須[內容一如定罪書所載]，而倘被告人未有遵照上述判決及命令付款，則有關欠款須以扣押及售賣被告人財物方式徵取；而被告人至今仍未遵照上述判決及命令付款︰

因此，現飭令你們立即將被告人的財物扣押(但不包括被告人及其家人的衣物和牀上用品，以及其總價值不超過$25的謀生工具及器具)；倘在緊接扣押其財物後的＋ 天內，列於本手令下面根據上述判決及命令而須繳付的款項 ，連同執行扣押及保存扣押物的合理費用及收費仍未繳付，則你們可將扣押所得的財物出售，然後將所得款項付予裁判官書記，以便他依法將該筆款項運用，並應要求將餘款(如有的話)退回被告人。倘無財物可供扣押，則須向上述法院證明此事，以便依法採取進一步的法律程序。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官

* 按情況需要略去有關繳付罰款、補償金或訟費的指示。

＋注意︰除非被告人同意或扣押物容易毀消，否則扣押物須在檢去後翌日起計五整天後方可出售。

第 227C章 -裁判官 (表格)規則

(1994年第59號第8條)

表格49 [條例第51條]

付款令發出後所發出的財物扣押令

香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]以及香港全體及每名警務人員。

下述簽署人(或 先生)(一名香港裁判官)已於19 年

月 日判決並命令 (以下稱為被告人)須於19 年

月 日或該日之前，向繳付一筆 的款項，及繳付一筆的款項作為訟費[或視屬何情況而定]，[或如命令所載內容]，倘被告人未有遵照上述判決及命令付款，有關欠款須以扣押及變賣被告人財物方式徵取，而被告人至今仍未遵照上述判決及命令付款︰

因此，現飭令你們[內容下文一如因定罪而判處罰款的定罪書發出後所發出的財物扣押令所載者]。 (1994年第59號第8條)

表格50 [條例第56條]

於可判處監禁罪行的定罪作出後為徵取訟費 而發出的財物扣押令

香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]以及香港全體及每名警務人員。

被告人 (地址為 )，[工人]，(以下稱為被告人)於19 年 月 日在上述法院席前被判[述明定罪書內的罪行]罪名成立，上述法院亦判決該被告人須因其罪行在香港的一所監獄受監禁，監禁期為 ，亦判決被告人須付予 一筆

的款項作為訟費。上述法院又命令，倘該筆 的訟費未獲[立即]繳付，則須以扣押及出售被告人財物及實產方式徵取。上述法院並判決被告人須在無足夠扣押物以供扣押時被監禁，監禁期為 ，由被告人上述的監禁刑期屆滿日起開始計算，除非上述訟費以及扣押財物的一切費用及收費獲得較早繳付。但被告人至今仍未繳付該筆 的訟費︰

因此，現飭令你們立即將被告人的財物及實產扣押；倘在緊接扣押後的天內，上文最後提及的款項，連同執行扣押及保存扣押物的合理收費仍未繳付，你們須將扣押所得的財物及實產出售，然後將所得款項付予裁判官書記，以便他依法將該等費用及收費付交，並應要求將餘款(如有的話)退回被告人。倘無財物可供扣押，則須向上述法院證明此事，以便依法採取進一步的法律程序。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格51 [條例第56條]

對不遵守命令者可判處監禁的命令發出後為 徵取訟費而發出的財物扣押令

香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]以及香港全體及每名警務人員。

下述簽署人(或 先生)(一名香港裁判官)於19 年 月

日接獲申訴，指稱[內容一如有關命令所述者]，上述各方已於19 年

月 日在本席(或上述 先生，或一如有關命令所載者)面前出庭。經考慮過有關申訴的事項後，法院判決被告人須[內容一如有關命令所述者]；而倘一份有關命令的紀錄面交被告人或留在被告人最後或最通常居住的地方後，被告人拒絕遵從或忽略遵從，被告人須因其不遵守該令而被監禁在香港的一所監獄，監禁期為，除非被告人較早遵從有關命令；另外被告人亦須付予一筆 的款項作為其訟費。法院並命令，倘該筆訟費未有[立即]繳付，則須以扣押及出售被告人財物及實產方式徵取，法院並判決被告人在無足夠扣押物以供扣押時須被監禁，監禁期為，由被告人上述的監禁刑期屆滿日起開始計算，除非該筆訟費以及扣押財物的一切費用及收費獲得較早繳付。法院作出上述命令後，一份有關命令的紀錄已妥為送達被告人，但被告人當時沒有，而至今仍未繳付該筆 的訟費︰

因此，現飭令你們立即將被告人的財物及實產扣押；倘在緊接扣押後的天內，上文最後提及的款項，連同執行扣押及保存扣押物的合理收費仍未繳付，你們須將扣押所得的財物及實產出售，然後將所得款項付予裁判官書記，以便他依法將該等費用及收費付交，並應要求將餘款(如有的話)退回被告人。倘無財物可供扣押，則須向上述法院證明此事，以便依法採取進一步的法律程序。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條；1997年第355號法律公告)

表格52

(由1997年第355號法律公告廢除)

表格53 [條例第69條]

在被告人獲釋但被飭令繳付損害賠償或訟費或 被飭令二者兼付的情況下發出的財物扣押令

香港 裁判法院

19 年 月 日。

被告人 (以下稱為被告人)被控於19 年 月 日在[述明有關罪行]；在 一名香港裁判官席前於19 年 月

日聆訊上述控罪後，認為該項控罪雖已獲證實，但由於該項罪行性質輕微(或考慮到被告人的秉性、經歷、年齡、健康或精神狀況或任何其他可使罪責減輕的情況 (視屬何情況而定))，不宜處以任何懲罰，因此將被告人釋放，但命令被告人須付予 *作為損害賠償及* ＋作為訟費＋；並同時命令該等款項須[內容一如命令所載者]；

[下文內容一如因定罪而判處罰款後所發出財物扣押令所載者]

* 如並無發出繳付損害賠償命令，略去“*”符號之間的字句。
＋如並無發出繳付訟費命令，略去“＋”符號之間的字句。
如屬其中一種情況，以“該筆款項”代替“該等款項”。

(1994年第59號第8條)

表格54 [條例第65條]

宣告擔保的承諾須予履行後就根據擔保而應繳欠款 發出的財物扣押令

香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]以及香港全體及每名警務人員。

曾於19 年月 日以一筆 的款項作出擔保，擔保條件為

須[述明擔保條件]。由於上述條件未獲履行，下述簽署人(或 先生)(一名香港裁判官)，已於19 年 月日宣告上述擔保的承諾須予履行；但上述 未有繳付根據該項擔保而須付的款項︰

因此，現飭令你們立即將上述的財物扣押，但不包括他本人及其家人的衣物和床上用品，以及其總價值不超過$25的謀生工具和器具；而倘在緊接扣押其財物後的*天內，列於本手令下面根據該項擔保而須繳付的款項，連同執行扣押及保存扣押物的合理費用和收費仍未繳付，則你們可將扣押所得的財物出售，然後將所得款項付予裁判官書記，以便他依法將該筆款項運用，並應要求將餘款(如有的話)退回上述。倘無財物可供扣押，則須向上述法院證明此事，以便依法採取進一步的法律程序。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官

*注意─除非擁有人同意或扣押物容易毀消，否則扣押物須在扣押後翌日起計五整天後方可出

售。 (1994年第59號第8條)

表格55 [條例第65條]

因主事人被定罪以致被判決擔保的承諾須予履行後
就根據擔保而應繳欠款發出的財物扣押令
香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]及香港全體及每名警務人員。

年 月 日判決上述擔保的承諾須予履行，而被告人則須將該筆 的款項付予裁判

官書記，並另須繳付一筆 的款項作為訟費；此外亦命令該筆款項須[內容一如命令所載者]，如被告人未有依照該項判決及命令付款，則須將被告人的財物扣押及出售，並從所得款項中徵取須繳付的款額；但被告人至今仍未依照該項判決及命令繳付該筆款項︰

因此，現飭令你們[下文內容一如為徵取罰款而發出的財物扣押令所載者]。 (1994年第59號第8條)

表格56 [條例第64條]

就繳付根據定罪而判決須繳付的款項而作出的保證須予履行後 就主事人依據保證而應繳欠款發出的財物扣押令

香港 裁判法院

致︰[如執行人員並非警務人員，須填寫該執行人員的姓名等資料]及香港全體及每名警務人員。

被告人 (以下稱為被告人)曾於19 年 月 日在上述法院席前被判於 19 年 月 日在 [述明有關罪行]罪名成立；該項定罪判決被告人須繳付[內容一如定罪書所載者]；法院亦命令被告人可作出令一名香港裁判官感到滿意的保證，[或內容一如定罪書所載者]，並須連同

名擔保人以保證能依照上述定罪書所指示的時間及方式繳付上述款項；被告人及其擔保人 及承諾被告人會在所指示的時間按照指定的方式繳付上述款項，而他們(或他)[各別]承諾，如被告人不依指示繳付款項，即須付予 該筆的款項；據本席所悉，被告人依據上述承諾而應繳的該筆的欠款仍未繳付，並已遭沒收；有關沒收保證金一事的通知書亦已妥為送達被告人︰

因此，現飭令你們[下文內容一如因定罪而判處罰款後所發出的財物扣押令所載者，但其中“列於本手令下面根據上述判決及命令而須繳付的款項”等字句，須以“列於本手令下面依據上述承諾而應繳的欠款”代替，並於下面所列的款額述明為“依據上述承諾而應繳的欠款額”]。

(1994年第59號第8條)

表格57 [條例第53條]

財物扣押令的報告

香港 裁判法院

本人， ，現向上述法院證明，本人已憑藉此手令，盡力搜尋此手令內所述被告人的財物及實產，但並無發現被告人有足夠的財物或實產可供扣押以徵取此手令內所述款項。

日期︰19 年 月 日。

(簽署) ....................................................

表格58 [條例第59條]

就執行財物扣押令而招致的費用及收費的帳目

香港 裁判法院

有關 所作告發(或申訴)的事項 本人 (地址為 )，是獲委執行於19 年 月 日發出的財物扣押令以扣押 的財物的人員。本人現聲明，以下是執行該財物扣押令而招致的費用及收費的正確帳目。

＄ ￠

總計.................

日期︰19 年 月 日。

(簽署) ....................................................

表格59 [條例第55條] 定罪後先行發出的拘押令

香港 裁判法院致︰香港全體及每名警務人員以及香港懲教署署長。 被告人 (新近地址為 )，[工人](以下稱為被告

人)，今日在上述法院席前被判[內容一如定罪書所述明的罪行]罪名成立，而上述法院亦因此判決被告人須繳付一筆 的款項[內容一如定罪書所載者]，以及付予上述 一筆的款項作為訟費；上述法院並判決，如被告人未有[立即]繳付上述各筆款項，則須將被告人監禁，監禁期為 ，除非上述各筆款項獲得較早繳付；現鑑於上述定罪所指定繳付上述各筆款項的時限已經屆滿，但被告人仍未繳付上述各筆款項或繳付其中任何部分款項︰

因此，現飭令你們，上述警務人員，將被告人押往監獄，並連同此手令交予懲教署署長；現又飭令你，懲教署署長，將被告人收押監獄，監禁期為 ，除非上述各筆款項獲得較早繳付；上述任務可憑本手令予以執行。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)

表格60 [條例第101A條]

因被告人未有在限期內付款而發出的拘押令

香港 裁判法院

致︰香港全體及每名警務人員以及香港懲教署署長。

被告人 (地址為 )，[工人](以下稱為被告人)，於19 年 月日在上述法院席前判[述明罪行，內容一如定罪書所載者]罪名成立；而上述法院因此判被告人須繳付一筆 的款項[內容一如定罪書所載者]，以及付予上述一筆 的款項及作為訟費；被告人並未按照該項判決及命令繳付有關款項，而法院已向被告人妥為發出傳票，命令他今日到本法院應訊(或已發出手令以拘捕被告人)︰

鑑於被告人已在今日到本席面前應訊︰

[鑑於本席已在被告人面前查詢其經濟能力︰]

因此，現飭令你們，上述警務人員，將被告人押往監獄，並連同此手令交予懲教署署長；現又飭令你，懲教署署長，將被告人收押監獄，監禁期為 ，除非上述各筆款項獲得較早繳付；上述任務可憑本手令予以執行。

日期︰19 年 月 日。

..................................................................
!

[公印位置] 裁判官 (1994年第59號第8條)

表格61 [條例第55條]

發出命令後先行發出的拘押令

香港 裁判法院

致︰香港全體及每名警務人員以及香港懲教署署長。

於19 年 月 日，下述簽署人(或 先生)(一名香港裁判官)，接獲申訴，指稱[內容一如命令所載者]，其後，於19 年 月 日，上述各方到本席(或 先生)，即上述裁判官面前，而經考慮上述申訴的事項後，被告人被判決須於19 年 月 日或該日之前須付予上述

一筆 的款項，及付予上述 一筆 的款項作為訟費；當時並判決，如被告人未有於19 年 月 日或該日之前繳付上述各筆款項，則須將他監禁，監禁期為 ，除非上述各筆款項獲得較早繳付；現鑑於上述命令所指定繳付上述各筆款項的時限已經屆滿，但被告人仍未繳付上述各筆款項︰

因此，現飭令你們，上述警務人員，將被告人押往監獄，並連同此手令交予懲教署署長；現又飭令你，懲教署署長，將被告人收押監獄，監禁期為 ，除非上述各筆款項獲得較早繳付；上述任務可憑本手令予以執行。

日期︰19 年 月 日。

..................................................................[公印位置] 裁判官 (1994年第59號第8條)