Form NCF1

Concise Statement
No. of
Federal Court of Australia
District Registry: [State]
Division: [Division]

[Name of First Applicant] [if 2 or more add "and another" or "and others"]
Applicant[s]

[Name of First Respondent] [if 2 or more add "and another" or "and others"]
Respondent[s]

**Delete before using form: The concise statement must:

 be in the form described in Part 5 of the Commercial & Corporations Practice Note (CPN-1)
 not exceed five pages
 be plain, concise and direct in every regard
 omit unnecessary repetition and will do no more than summarise:

[(a) The important facts giving rise to the claim:]

[(b) The relief sought from the Court (and against whom):]

[(c) The primary legal grounds for the relief sought:]

[(d) The alleged harm suffered by the applicant, including - wherever possible - a conservative
and realistic estimate or range of loss and damage:]

Filed on behalf of (name & role of party)

Prepared by (name of person/lawyer)
Law firm (if applicable)
Tel Fax
Email
Address for service
(include state and postcode)
 Certificate of lawyer

I [name of lawyer] certify to the Court that, in relation to the statement of claim filed on behalf of the
Applicant, the factual and legal material available to me at present provides a proper basis for each
allegation in the pleading.

Date: [eg 19 June 20..]

Signed by [Name of lawyer]

Lawyer for the Applicant

Form NCF1