Annex L: Form of Direction and Undertaking

(Subsection 159.4(1) of the National Defence Act)

Part I: Direction

It is directed that [service number, rank (if applicable) and full name of person in custody] be released from custody upon signing the undertaking in Part 2. It is further directed that this form be presented to the person in custody without delay.

[Date]

[Military Judge]

Part 2: Undertaking

I, [service number, rank (if applicable) and full name of person in custody] undertake, as a condition of my release from custody, to comply with the following conditions:

1. remain under military authority;
2. report at [specified times] to [specified military authority];
3. remain within the confines of [specified defence establishment or location within a geographical area];
4. abstain from communicating with [witness or specified person];
5. refrain from going to [specify place]; and
6. [other reasonable conditions as are specified].

[Date]

[signature of person in custody]

[witness to signature of person in custody]

AL 2-99