In the District Court of

No.                       of 19            .

Between

A. B.,

Plaintiff,

and

C. D.,

Defendant.

To C. D. of (a)                       , (b)                       .

This is to command you that within ten days after the service of this writ you enter an appearance in an action against you by A. B. of (a)                                  , (c)                                  .

The Plaintiff's claim in the action is set out in the indorsement overleaf.

The Plaintiff's address for service is (d)                                  .

And take notice that in default of your entering an appearance in the manner specified below, the Plaintiff may proceed in the action and judgment may be given in your absence.

Filed and sealed on the (e)            day

of                       , 19            .

(Signed)                                 

Registrar.                      

N.B.- An appearance may be entered either personally or by advocate by delivering to the Registrar at (f)                                  a memorandum of appearance, and on the same day by delivering at the Plaintiff's address for service a duplicate of such memorandum dated, signed and sealed by the Registrar.

(a) Give full address, including street and number of premises, if any.

(b) State Defendant's occupation, if known.

(c) State Plaintiff's occupation.

(d) Give the full name, occupation, and address of a person within the municipal limits of the town or village in which is situated the Registry in which the action is filed, with whom documents intended for Plaintiff may be left.

(e) The date should be filled in by the Registrar.

(f) State the town or village in which is situated the Registry described in (d) above.

N.B.-In drawing up a writ regard should be had to the provision of Order 2 and the provisions governing indorsements of claim.

Note for Defendant.-A Defendant who wishes to employ an advocate should bear in mind that, except with the leave of the judge, an advocate cannot enter appearance for him unless he has a retainer in writing in Form 12A given to him by the Defendant

Indorsement of Claim.

The Plaintiff's claim is

(Signed)                                 

(a) Advocate for Plaintiff.

(a) Strike out the words " advocate for " if suing in person.