LITIGANT IN PERSON PRACTICE NOTE (GPN-LIP)
ACKNOWLEDGEMENT

1.	Your details 	
(a)	Name:		
		
(b)	Address:		
		
(c)	Telephone number:		
		
(d)	Email address:		
		
2.	Details of your court case	
(a)	Title of your court case:		
		
(b)	File number:		
	
3.	Acknowledgement	
I have read the Federal Court of Australia’s Litigant in Person Practice Note (GPN-LIP). 

Signed: ............................................................................................................	Date: ……………………………
Name: ............................................................................................................

You may sign this acknowledgement electronically. 
The Judge or Registrar allocated to your case will be notified of your completion of this acknowledgment form.  	
	
4.	Please send your completed acknowledgement form by email to the Registry where your case was filed. If you do not have access to email, you may send the form by post or hand it in to the Registry counter. 	
	NSW	nswreg@fedcourt.gov.au
Locked Bag A6000
Sydney South NSW 1235	
	ACT	actreg@fedcourt.gov.au
PO Box 9991
Canberra ACT 2601	
	NT	ntreg@fedcourt.gov.au
GPO Box 1806
Darwin NT 0801	
	QLD	qldreg@fedcourt.gov.au
PO Box 13084
George Street
Brisbane QLD 4003	
	SA	sareg@fedcourt.gov.au
GPO Box 1350
Adelaide SA 5001	
	TAS	tasreg@fedcourt.gov.au
Edward Braddon Commonwealth Law Courts Building
39-41 Davey Street
Hobart TAS 7000	
	VIC	vicreg@fedcourt.gov.au
305 William St
Melbourne, VIC, 3000	
	WA	perth.registry@fedcourt.gov.au
GPO Box A30
Perth WA 6001