Text as at 15 April 2026
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Schedule 2 - Forms for use where other offences taken into account in sentencing

PART A To Charged with (1) Date Signature of accused acknowledging receipt of a copy of this document Date PART B CERTIFICATE In sentencing for the offence(s) of 1 2 3 this day the court has taken into account the following offences alleged against and admitted by the accused, that is to say the offences numbered on the back of this form. Dated Signature of (Judge) (Magistrate) PART C Place where offence Date of Description of offence Number committed offence (with particulars) 1 2 3 4 etc.
Sch. 2 amended by No. 8/1991 s. 20(3) (as amended by No. 49/1991 s. 119(2)), substituted by No. 48/1997 s. 34, amended by Nos 68/2009 s. 97(Sch. item 110.84), 37/2014 s. 10(Sch. item 151.8).
(2)
(3)
(4)Before the Court at MEMORANDUM FOR THE ACCUSED'S INFORMATION
(1)The list on the back of this form gives particulars of other alleged offences with which you are charged.
(2)If you are convicted on the charge(s) set out above you may, before sentence is passed, ask to be allowed to admit all or any of the other offences listed on the back of this form and to have them taken into account by the court in passing sentence on you.
(3)If at your request any of the other offences listed on the back are taken into account by the court, then—
(a)this does not amount to a conviction in respect of the other offences taken into account;
(b)the sentence that may be imposed on you by the court for each offence of which you have in fact been convicted cannot exceed the maximum that might have been imposed for it if there had been no taking into account of other offences listed on the back.
(4)No further proceedings may be taken against you in respect of any other offences taken into account at your request unless your conviction for the offence(s) above is set aside.
(5)If any proceedings are taken against you in respect of any offence that you have asked to have taken into account your admission of that offence cannot be used as evidence against you in those proceedings. Signature of (police officer) or (Associate Crown Prosecutor) or (Crown Prosecutor) or (Director of Public Prosecutions)