e-form

Criminal Courts (Malta) Juror Exemption

Application of

Identity Card Number

Humbly Submit:

That the said applicant was summoned to serve as a juror for the month of

That s/he respectfully requests to be exempted from serving as a juror as per attached document because

For these reasons, the applicant respectfully requests this Honourable Court to exempt him/her from serving as a juror for the said month and this under those conditions which the Court may impose.

Signature

For these reasons, the applicant respectfully requests this Honourable Court to exempt him/her from serving as a juror for the said month and this under those conditions which the Court may impose.

Signature