| To: (name of person summoned and his or her occupation and address, if known). |
| You are hereby summoned to appear before the Tribunal at (place) on the day of ………………… at o'clock and to give evidence respecting (state the matter). |
| (If the person summoned is to produce documents, add): |
| You are required to bring with you (specify the papers, books, records and documents required). Therefore, fail not at your peril. |
| Given under the hand of (Chairperson or his delegated member of the Tribunal) this [ ] day of [ ] 20 . |