IN THE FEDERAL COURT OF AUSTRALIA

XXX DISTRICT REGISTRY

No. of 2003

BETWEEN NNN

Applicant

AND

THE MINISTER FOR IMMIGRATION AND MULTICULTURAL AND MULTICULTURAL AND INDIGENOUS AFFAIRS

Respondent

APPLICATION

Application pursuant to section 39B(1) and section 39B(1A) (a) and (c) of the Judiciary Act 1903 (Cth) to seek orders in relation to the threatened removal from Australia of the Applicant.

THE APPLICANT CLAIMS:

A. An injunction restraining the Respondent from returning the Applicant to Iran.

B. An order that the Respondent pay the applicant’s costs.

C. Such other orders as the Court thinks fit.

ON THE GROUNDS SET OUT IN THE STATEMENT OF CLAIM

AND THE APPLICANT CLAIMS BY WAY OF INTERLOCUTORY RELIEF:

A. An order that pending the hearing and determination of the application, the Applicant be restrained from:

a. Returning the Applicant to Iran;

b. Removing the Applicant from Australia.

DATED:

………………………………………

Solicitors for the Applicant

To the Respondent

The Minister for Immigration and Multicultural and Indigenous Affairs

c/- The Australian Government Solicitor

[address]

If there is no attendance before the Court by you or your Counsel or solicitor at the time and place specified below, the application may be dealt with and you will be liable to suffer judgment or an order against you in your absence.

Before any attendance at that time you must file an appearance in the Registry

APPOINTMENT FOR DIRECTIONS HEARING

Time:

Place: Federal Court

[address]

The applicant's address for service is:

[firm]

[address]