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Back to Revised Laws of Saint Lucia (2021)

Schedule 4

(Section 13 (3))

Application for the expungement of conviction from the Records

I hereby apply for the expungement of conviction from the records and furnish the supporting documents with the following particulars:

1. My full name is: ________________________________________

(Print name)

2. My date of birth is: ________________________________________

(d/m/yr)

3. My address is: ________________________________________

4. My Tel. No. is: ________________________________________

5. The offence which I was convicted of is:

________________________________________

6. The sentence imposed by the court in respect of that conviction was

________________________________________

7. The date of the conviction was:

________________________________________

(d/m/yr)

8. The place of conviction was: ________________________________________

9. The Court before which I was convicted was:

________________________________________

10. The date I completed the serving of my sentence was (where applicable, this shall include the date on which any period of disqualification, disability or probation ceased and the extent to which any condition attaching to such sentence has been complied (with):

________________________________________

(d/m/yr)

11. The expiry date of the prescribed rehabilitation period:

________________________________________

(d/m/yr)

12. The following documents are attached (tick the appropriate boxes):

£ A certified copy of the applicant's birth certificate.

£ A copy of the applicant's criminal record.

£ A copy of the Order of the Court.

13. List any other written representation on which you rely on in support of your application (including any other information as may be prescribed by regulations).

________________________________________

Commonwealth country or foreign State to which this Part applies, an offence however described that, if committed in Saint Lucia,

(a) would be a crime described in the Schedule; or

(b) would be a crime that would be so described were the description to contain a reference to any intent or state of mind on the part of the person committing the offence or to any circumstance of aggravation, necessary to constitute the offence,

and for which the maximum penalty in that country or state is death or imprisonment for a term of 12 months or more.