Prince Edward Island – Criminal Appeal Rules of Court (SI/2011-109)

(To be used where Appellant is not Represented by Counsel)

CANADA

PROVINCE OF PRINCE EDWARD ISLAND

IN THE PRINCE EDWARD ISLAND COURT OF APPEAL No. S1-CA-

BETWEEN:

(Name of appellant)

APPELLANT

AND

HER MAJESTY THE QUEEN

as represented by the Attorney General

RESPONDENT

Notice of Appeal (Or Notice of Application for Leave to Appeal) (Or Notice of Cross-Appeal)

• 1 

  Name of appellant

  

• 2 

  Place of trial

  

• 3 

  Name of judge

  

• 4 

  Name of court (Supreme Court of Prince Edward Island; Provincial Court or Youth Court)

  

• 5 

  Name of your defence counsel (if any) at trial

  

• 6 

  Offence(s) of which appellant was convicted (example: theft, forgery, sexual assault)

  

  

• 7 

  Plea at trial

  

• 8 

  Date of conviction

  

• 9 

  Sentence Imposed

  

• 10 

  Date of imposition of sentence

  

• 11 

  Is your appeal from a conviction or sentence under the Youth Justice Act?

  Yes No

• 12 

  (If applicable) If the appellant is a young person as defined in the Youth Justice Act and has applied for legal aid, indicate the location of the legal aid office.

  

  Has the appellant been refused legal aid?

  Yes No

• 13 

  Name and address of place where appellant is in custody or, if not in custody, the appellant’s address

  

  

• 14 

  If the appellant is in custody, appellant’s address other than the institution

  

  

• 15 

  Appellant’s date of birth

  

• 16 

  Trial court case number

  

I, the above appellant, hereby give notice that I desire to appeal and, if necessary for me to do so, to apply for leave to appeal against

• (a) 

  conviction only ;
• (b) 

  sentence only ; or
• (c) 

  both conviction and sentence .

I wish to appeal for the following reasons:

Grounds of appeal

I desire to present my case and argument

• (a) 

  in writing only;
• (b) 

  in person; or
• (c) 

  in writing and in person .

If a new trial is ordered and you would have the right to trial by judge and jury, do you wish trial by judge and jury?

Yes No

Dated at , Prince Edward Island, this day of , 20

(if you are not in custody) or

TO: The Senior Official of the Penal Institution (if you are in custody)

If you are in custody, this notice of appeal is to be provided to the senior officer of the institution in which the appellant is imprisoned not later than 30 days after the date of sentence. If you are not in custody, this notice of appeal is to be provided to the Registrar not later than 30 days after the date of sentence.

Application for Extension of Time

I hereby apply for an extension of time, within which I may launch the appeal, on the following grounds.

(State reasons for delay below.)

Signed

Dated