To the competent Judicial Authority of                                  , in the (province or district or as the case may be).

Whereas a civil action is now pending in the District Court of                                  in Cyprus in which A.B. (full name and description) is Plaintiff and C.D. (full name and description) is Defendant. And in the said action the Plaintiff claims (set out the claim as in the writ of summons).

And whereas it has been represented to the said Court that it is necessary for the purposes of justice and for the due determination of the matters in dispute between the parties that M.N.                                  of                                  , X.Y.                                  of                                  and W.Z. of                                  (give full names, addresses and descriptions) should be examined as witnesses upon oath touching such matters:

And it appearing that such witnesses are resident within your jurisdiction:

Now I, L.M., the President of the District Court of                                  , have the honour to request that for the reasons aforesaid and for the assistance of the said Court you will be pleased to summon the said witness(es) to attend at such time and place as you shall appoint before you or such other person as according to your procedure is competent to take the examination of witnesses, and that you will cause such witness(es), to be examined (*upon the interrogatories which accompany this letter of request) viva voce touching the said matters in question in the presence of the agents of the Plaintiff and Defendant or such of them as shall, on due notice given, attend such examination.

And I further have the honour to request that you will be pleased to cause (*the answers of the said witness(es) and all additional viva voce questions, whether on examination, cross-examination, or re-examination) the evidence of such witness(es) to be reduced into writing and all books, letters, papers and documents produced upon such examination to be duly marked for identification, and that you will be further pleased to authenticate such examination by the seal of your tribunal or in such other way as is in accordance with your procedure and to return the same together with (*the interrogatories and cross-interrogatories, and) a note of the charges and expenses payable in respect of the execution of this request, through the British Consul from whom the same was received for transmission to the District Court of

And I further beg to request that you will cause the said British Consul to be informed of the date and place where the examination is to take place.

Dated the                       day of                       , 19                       .

(Signature)                                 

[Seal of the]
[District Court.]

* Strike out if not the case.