FORM 1803

File no.

SECURITY INTELLIGENCE REVIEW COMMITTEE

IN THE MATTER of a complaint filed with the Security Intelligence Review Committee pursuant to section ___ of the CSIS Act, R.S.C. 1985, c. C-23, as amended

_________________________________________

Complainant

-and-

__________________________________________

Respondent

SUMMONS TO WITNESS ISSUED PURSUANT TO SUBSECTION 50 (a) OF THE CANADIAN SECURITY INTELLIGENCE SERVICE ACT

Security Intelligence Review Committee
P.O. Box 2430
Postal Station D
Ottawa, On
K1P 5W5
Phone: 1-833-890-0293
Fax: (613) 907-4445

TO:
(name and address of witness)
_____________________
_____________________
_____________________
_____________________
_____________________

YOU ARE REQUIRED TO ATTEND BEFORE the Security Intelligence Review Committee at (required time), at (required location), to give oral evidence in connection with the above-noted investigation.

IN TESTIMONY THEREOF, I have signed as (Chair / member / Registrar) of the Security Intelligence Review Committee in the City of _____________, Province of ____________, this ____ day of ______________.

_________________________
_________________________

This summons was issued at the request of, and all inquiries concerning this summons should be made to:

(name and contact of party)
_____________________
_____________________
_____________________
_____________________
_____________________