3. You were found on [day and date] at [place] at [time] which is at or about the time the code of ethics applying to persons designated under section 30, 30A or 31 of the Police (Northern Ireland) Act 2003 is alleged to have been breached.
I believe your presence at [place] at that time may be due to your involvement in this breach of the code of ethics.
You do not have to say anything about your presence at [place] on [day and date] at [time] but I must caution you that if you fail or refuse to account for your presence at [place] then your failure or refusal may be treated in any subsequent misconduct proceedings as supporting any relevant evidence against you. If you do say anything it may be given in evidence at such misconduct proceedings.
I now ask you to account for your presence on [day and date] at [place] at or about [time]. Have you anything you wish to say?