IN THE MAGISTRATE’S COURT FOR THE DISTRICT OF …………………………………………

HELD AT …………………………………………….

CASE NO:

In the Matter between:

STATE

And

____________________ Accused

AFFIDAVIT IN SUPPORT OF BAIL APPLICATION

I, the undersigned

____________________________

Do hereby declare and state under oath as follows:

1.

I am the accused and Applicant in this matter. I am an___________________ aged

____, with the following personal particulars:

1.1 Date of birth: ________________

1.2 Citizenship: ________________

1.3 My home address is ________________________________ and I have been

residing here since _________________. I reside in the property with
_______________________________________________________________

1.4 I do not reside with or very close to the Complainant and the Complainant
and our relationship to each other is ________________________________
______________________________________________________________
 2.

My regard to my personal background I would like to place the following information

before the Court:

2.1 I am currently __________________________________________________

_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

2.2 I am __________________________________________________________

2.3 I have the following Dependants:

_______________________________________________________________
_______________________________________________________________

2.4 I am able to afford an amount of R____________ in bail money.

3.

In so far as my history is concerned, I can state the following:

3.1 I have the following previous convictions:

_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

3.2 There are the following pending cases against me:

_______________________________________________________________
 _______________________________________________________________
_______________________________________________________________

4.

As to the arrest and factual background in this particular case, I wish to state the
following:

4.1 I was arrested on the _________________, and I have been in custody since
then.

4.2 Offences charged with:

_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

4.3 I currently intend to plead not guilty to the above charges and wish not to
disclose my defense to the charges at present.

5.

I humbly submit further the following factors to be considered in deciding whether

bail should be granted:

5.1 I hereby undertake not to endanger the public or individual safety of anyone,
should I be released on bail.

5.2 I am prepared to stand trial. I confirm that, should I be released on bail, I

will not attempt to evade my trial. I will attend Court on every date required
of me by the Court.
5.3 I undertake not to interfere with any evidence to be presented in my trial and
I undertake not to contact any of the witnesses in this matter pending
finalization of the case.

5.4 I undertake not to commit any further offence, should I be released on bail,
and I undertake to abide by any condition imposed by the Court.

6.

I respectfully submit that my release on bail is in the interest of justice due to the
following reasons:

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

7.

I respectfully request the Court to grant bail to me in an appropriate amount and

with such conditions attached as the Court may deem fit.

SIGNED AT ………………………… ON THIS _____ DAY OF ___________________2017.

_______________________
SIGNATURE