In the Supreme Court.

or

(Before the President of the District Court).

On appeal from the District Court of                                  , in Action No                       .

or

(On appeal from the Magistrate in District Court Action No.                       ).

Between

A. B.,

Plaintiff,

and

C. D.,

Defendant.

Take notice that the Plaintiff (or Defendant, as the case may be) hereby appeals from the judgment (or order, as the case may be) given (or made) in the above action on the                       day of                                  , 19            , whereof a copy is attached to this notice,

*And take notice that his appeal is against the whole of the said judgment (or order).

or

And take notice that his appeal is against so much of the said judgment (or order) as adjudged (or directed) that, etc., stating the terms of the part complained of).

And further take notice that his grounds of appeal and the reasons therefor are (a)

Filed the                       day of                                  19           

(Signed)                                 

Advocate for                       .

* Strike out if not required.

(a) Each ground and the reasons therefor should be stated separately and fully.