For the purposes of section 72(1) of the Act, the following words are prescribed:

The offence with which you are charged is indictable, which means that it is normally treated as a criminal charge and is heard in the Supreme Court. In some cases the law says the case may be disposed of in the lower court. This is one of those cases, and the choice is yours as to which court hears it. Are you willing to be tried here or do you wish to be tried in the Supreme Court by a jury?