IN THE HIGH COURT OF AUSTRALIA   
[CITY] REGISTRY	No.              of 20__

BETWEEN:	[Appellant’s full name]
	Appellant

	and

	[Respondent’s full name]
	Respondent

INTERVENER’S SUBMISSIONS

Part I:
[Certification that the submission or the redacted version of the submission (as the case requires) is in a form suitable for publication on the internet.]
I certify that this submission is in a form suitable for publication on the internet.

Part II:
[A statement of the asserted basis of intervention and the party or parties in support of whom the intervention is, or is sought to be, made.]

Part III:
[Where necessary, why leave to intervene or to be heard as amicus curiae should be granted.]

Part IV:
 [A statement addressing so many of the issues presented by the appeal as the intervener desires to make the subject of submissions to the Court.]

Part V:
[An estimate of the number of hours required for the presentation of the intervener’s oral argument.]

Dated 

	................(signed)....................
[Senior legal practitioner presenting the case in Court, or intervener if unrepresented]
Name: [name of signatory]
Telephone: [contact telephone number]
Facsimile: [facsimile number]
Email: [email address]