In the Magistrate's Court for the District/Region of ...........................................................

held at ..................................................... Case No. ....................................... of 20.........

In the matter between

..................................................................................................................... Applicant

and

................................................................................................................. Respondent

Take notice that application will be made to the above-mentioned court on the .......................... day of .......................,20...., at ..................... (time), for summary judgment against the respondent in this action for R..............and costs;

And further take notice that the document on which the claim is based or the affidavit of ................... (copy served herewith) will be used in support of such application and that respondent may reply thereto by affidavit.

Dated at .................................... this ............................ day of ............................, 20.......,

..................................................................

Applicant/Applicant's Attorney

To:        .....................................................................

.....................................................................

....................................................................

and: The Registrar/Clerk of the Court,

....................................................................