Form 1 Notice of intention to hold a public
assembly
(Summary
Offences Act 1988)
(Clause 13)
To: The Commissioner of Police
1 I, ...............................................................................................................
( name )
of ...............................................................................................................
( address )
on behalf of ......................................................................................................
( organisation )
notify the Commissioner of Police that on
the ..............................................................................................................
( day )
of ........................................................., it
is intended to hold
( month and year )
*(a) a public assembly, not being a procession, of
approximately
......................................................................................................
( number )
persons, which will assemble
at ...............................................................................................................
( place )
at approximately .......... am/pm, and disperse at approximately
.......... am/pm, or
*(b) a public assembly, being a procession of
approximately .....................................................................................................
( number )
persons, which will assemble
at ..............................................................................................................
( place )
at approximately .......... am/pm, and disperse at approximately
.......... am/pm, and at approximately ........ am/pm the procession
will commence and proceed:
......................................................................................................................
......................................................................................................................
.......................................................................................................
......................................................................................................................................
(Specify route of proposed assembly, any stopping places, the approximate
length of the stop and the approximate time of termination. A diagram
may be attached if desired.)
2 The purpose of the proposed assembly is:
......................................................................................................................
.......................................................................................
..........................................................................................................................................
................................................................................................................................................
...........................................................................................................................................
3 The following special characteristics associated
with the assembly would be useful for the Commissioner of Police
to be aware of in regulating the flow of traffic or in regulating
the assembly:
*(a) There will be ............................................................................................
( number )
vehicles and/or* floats involved and their type and dimensions are
as follows:
.....................................................................................................................
...................................................................................................................................
...................................................................................................................................
*(b) There will be .....................................................................................................
( number )
bands, musicians, entertainers etc, which will entertain or address
the assembly.
*(c) The following number and type of animals will be involved in
the assembly:
..............................................................................................................................................
..............................................................................................................................
...............................................................................................
.................................................................................................................................
*(d) Other special characteristics of the proposed assembly are
as follows:
.............................................................................................................................................
.............................................................................................................................................
...............................................................................................................
...................................................................................................................................
4 I take responsibility for organising and conducting
the proposed public assembly.
5 Notices for the purposes of the Summary
Offences Act 1988 may be served on me at the following address:
...............................................................................................................................
...............................................................................................................................
..........................................................................................................................
Postcode:........................................................................................................
Telephone: .......................................................................................................
Signed: ............................................... Date: ..............................................................
Capacity/Title: ...................................................................................................
• Strike out whichever does not apply.
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