Section 3:

3. Offences which are— (a) punishable by penal servitude; (b) excluded from the jurisdiction of a District Magistrate. [First Sch. amended by s. 16 (a) of Act 13 of 2012 w.e.f. 5 November 2012.] SECOND SCHEDULE [Sections 4] APPLICATION FORM FOR LEGAL AID Name and surname of applicant ...................................................................... ................................................................................................................... Marital status of the applicant ........................................................................ National Identity Card no. .............................................................................. Address and phone number ............................................................................ Name and surname of spouse/partner .............................................................. Name and surname and age of other dependants .............................................. Name and address of next of kin who could be contacted in case of need ................................................................................................................... ................................................................................................................... Average monthly income of applicant .............................................................. [Issue 7] L12 – 6 Revised Laws of Mauritius SECOND SCHEDULE—continued Employment, trade or occupation .................................................................... Average monthly income of spouse/partner ...................................................... Employment, trade or occupation of spouse/partner .......................................... Average monthly expenses for dependants ...................................................... Funds available in cash or in an account in a financial institution ......................... Other sources of income and particulars thereof ............................................... Loan contracted and particulars thereof ........................................................... Net monthly income of applicant . .................................................................... Total household income ................................................................................. Particulars of immovable property other than subject matter of proceedings – (a) extent of land ..................................................................................... (b) nature of buildings .............................................................................. (c) income derived therefrom .................................................................... Particulars of motor vehicles owned – (a) brand or make .................................................................................... (b) year of registration .............................................................................. (c) capacity — ........................................................................................ I declare that the information set out above is true to the best of my knowledge and belief. ....................................................... ...................................................... Date Signature or mark of applicant ................................................................................................................... Name and rank of the representative of the Authority ............................. ............................................................. I declare that the information set out above is true to the best of my knowledge and belief. ....................................................... ...................................................... Date Signature or mark of applicant ................................................................................................................... Name and rank of the representative of the Authority ....................................................... ...................................................... Date Signature of the representative of the Authority [Second Sch. inserted by s. 16 (b) of Act 13 of 2012 w.e.f. 5 November 2012.] L12 – 7 [Issue 7] Legal Aid Act THIRD SCHEDULE [Section 7B] APPLICATION FORM FOR LEGAL ASSISTANCE Name and surname of applicant ...................................................................... ................................................................................................................... Marital status of the applicant ........................................................................ National Identity Card no. .............................................................................. Address and phone number ............................................................................ Name and surname of spouse/partner .............................................................. Name and surname and age of other dependants .............................................. Name and address of next of kin who could be contacted in case of need ................................................................................................................... ................................................................................................................... Average monthly income of applicant .............................................................. Employment, trade or occupation .................................................................... Average monthly income of spouse/partner ...................................................... Employment, trade or occupation of spouse/partner .......................................... Average monthly expenses for dependants ...................................................... Other sources of income and particulars thereof ............................................... Net monthly income of applicant . .................................................................... Total household income ................................................................................. Particulars of immovable property other than subject matter of proceedings – (a) extent of land ..................................................................................... (b) nature of buildings .............................................................................. (c) income derived therefrom .................................................................... I swear/solemnly affirm that the information set out above is true to the best of my knowledge and belief. ....................................................... ....................................................... Date Signature or mark of applicant [Issue 7] L12 – 8 Revised Laws of Mauritius THIRD SCHEDULE—continued ................................................................................................................... Name and rank of the representative of the Authority . ..... I swear/solemnly affirm that the information set out above is true to the best of my knowledge and belief. ....................................................... ....................................................... Date Signature or mark of applicant [Issue 7] L12 – 8 Revised Laws of Mauritius THIRD SCHEDULE—continued ................................................................................................................... Name and rank of the representative of the Authority ....................................................... ....................................................... Date Signature of the representative of the Authority [Third Sch. inserted by s. 16 (b) of Act 13 of 2012 w.e.f. 5 November 2012.] L12 – 9 [Issue 7]