In the District Court of

No.                       of 19            .

Between

A. B.,

Plaintiff,

and

C. D.,

Defendant.

I hereby request that a writ of summons (or notice of a writ of summons, as the case may be) in this action be transmitted through the proper channel to (name of country) for service (or substituted service) on the defendant at (give address) or elsewhere in (name of country) *directly through the British Consul or *by the foreign judicial authority.

And I hereby personally undertake that should the expenses incurred by the Colonial Secretary of Cyprus in respect of the service hereby requested exceed the amount of the deposit of £            in that behalf now paid by me into the above-named Court, I will, on receiving due notification of the amount of such expenses pay the amount in excess of such deposit to the registrar of the Court.

Dated this                       day of                       , 19                       .

(Signature of Advocate.)

* Strike out if not wanted.