Acknowledgment of Service. (Part 81, Section 4 - Certification, or application under section 336 of the Charities Act 2011, in relation to conduct alleged to constitute contempt of court (CPR Part 81, Section 4))

Published date21 March 2018
Subject MatterCounty Court forms
N210C Acknowledgment of Service (10.12) © Crown copyright 2012
The court oce at
is open between 10 am and 4 pm Monday to Friday. When corresponding with the court, please address forms or letters to the Court Manager and quote the claim number.
Name of court
Claim No.
Acknowledgment of Service
(Part 81, Section 4 - Certication, or application
under section 336 of the Charities Act 2011,
in relation to conduct alleged to constitute
contempt of court (CPR Part 81, Section 4))
Section A
I do not intend to contest the certication or
section 336 application
Section C
I intend to dispute the court’s jurisdiction
Tick and complete sections A – F as appropriate.
In all cases you must complete sections E and F
I intend to contest the certication or
section 336 application
Section B
I intend to rely on written evidence
My written evidence:
is led with this form, or
will be led within 14 days of service of
the certication or section 336 application
Section D
Full name of respondent ling this acknowledgment
Section E
If applicable
Telephone no.
Fax no.
DX no.
Your ref.
E-mail
Postcode
Name of the body that
made the certication
or section 336
application
Name of the
respondent (the
person alleged to
have committed the
contempt)
Section F
/ /
*(I believe)(The respondent believes) that the facts stated in this form are true.
*I am duly authorised by the respondent to sign this statement.
*delete as appropriate
Signed
(To be signed
by you or by
your legal
representative or
litigation friend)
Position or oce held
(if signing on behalf of rm or company)
Date
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