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2. That the applicant applies to the court in terms of subsection (1) of section 245E of the Criminal Procedure (Scotland) Act 1995 to revoke [or vary] the order for the following reason–
(statement of reason)
MAY IT THEREFORE PLEASE YOUR LORDSHIP[S] [OR THE COURT]:
to [revoke the restriction of liberty order] [vary the restriction of liberty order by (statement of variation sought in terms of subsection (2) (a) of the said section 245E)],
or
to do otherwise as to your Lordship[s] [or to the court] shall seem proper.
IN RESPECT WHEREOF
(Signed)
Offender
[or Solicitor for offender]
[or applicant with responsibility for monitoring compliance]
(Where a solicitor signs, the address and telephone number of the solicitor).
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