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:
[The applicable constitutional provisions, statutes and regulations as they existed at the relevant time, set out verbatim, and either: 
(a)	a statement that those provisions are still in force, in that form, at the date of making the submissions; or
(b)	a copy of each later provision amending or repealing those provisions, together with any relevant transitional provisions.
If more than one page in length this Part should be attached as an annexure.]

Part V:
[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 VI:
[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]